DR. AMY ROAN MOY OD
NPI 1164439824
Optometrist - Pediatrics in Jamaica Plain, MA

Active since August 02, 2006PECOS Enrolled
75 BICKFORD ST, EYE CLINIC, JAMAICA PLAIN, MA 02130(617) 971-2100 Get Directions Write a Review

NPPES record last updated: August 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Amy Roan Moy Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMY ROAN MOY OD (NPI 1164439824) is an individual pediatrics provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (4392) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164439824
Entity TypeIndividualFemale
Primary Taxonomy152WP0200X
Provider Legal NameDR. AMY ROAN MOYCredential: OD
Location Address75 BICKFORD ST, EYE CLINICJamaica Plain, MA 02130-1401
Mailing Address75 Bickford St, Eye ClinicJamaica Plain, MA 02130-1401 · (617) 971-2100
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 25, 2009
NPI 1164439824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License Licensed in MA · 4392
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
75 BICKFORD ST, Jamaica Plain, MA 02130

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Amy Roan Moy Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Nurse Practitioner (Pediatrics)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Dietitian, Registered
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Social Worker (Clinical)
75 BICKFORD ST
BOSTON, MA 02130
Social Worker (Clinical)
75 BICKFORD ST
BOSTON, MA 02130
Social Worker (Clinical)
75 BICKFORD ST
JAMAICA PLAIN, MA 02130
Pediatrics
75 BICKFORD ST, MARTHA ELIOT HEALTH CENTER
JAMAICA PLAIN, MA 02130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Moy's NPI number?

The NPI number for Amy Moy is 1164439824. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Amy Moy located?

Amy Moy practices at 75 Bickford St Eye Clinic, Jamaica Plain, MA 02130. The listed phone number is (617) 971-2100.

What is Amy Moy's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

Is Amy Moy enrolled in Medicare?

Yes. Amy Moy is registered in the Medicare PECOS enrollment system.

What insurance does Amy Moy accept?

Health plans from Anthem Blue Cross and Blue Shield list Amy Moy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Moy was last updated on August 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.