Individual provider Active NPI

Allison Moy

  • Corneal and Contact Management Optometrist
  • Newcastle, WA
National Provider Identifier
1013320217
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OD60470116 Issued in WA
Practice address
13399 Newcastle Commons Dr
Newcastle, WA 98059-3290
Phone
(425) 251-9200
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OD60470116 WA Primary

Addresses

Primary practice location

13399 Newcastle Commons Dr
Newcastle, WA 98059-3290

Mailing address

13399 Newcastle Commons Dr
Newcastle, WA 98059-3290

Other practice location 1

200 Minor Hl
Berkeley, CA 94720-0001
Phone (510) 642-2020

Other practice location 2

13399 Newcastle Commons Dr
Newcastle, WA 98059-3290
Phone (425) 659-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918000441 WA Practitioner - Optometry 5496970816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sao Vision P.L.L.C.Group PAC ID 6608296082, 2 clinicians

Practice addresses (Care Compare)

13399 Newcastle Commons Dr
Newcastle, WA 98059-3290
Phone (425) 659-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sao Vision P.L.L.C. CurrentSince Jul 13, 2020 Accepting new patients
Aeg Washington Professional PC CurrentSince Jul 11, 2024 Accepting new patients

Locations

8009 S 180th St
Ste 104
Kent, WA 98032
Phone (425) 251-9200

13399 Newcastle Commons Dr
Newcastle, WA 98059
Phone (408) 768-8752

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1013320217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13399 NEWCASTLE COMMONS DR",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13399 NEWCASTLE COMMONS DR",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593290",
            "telephone_number": "425-251-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Minor Hl",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947200001",
            "country_code": "US",
            "telephone_number": "510-642-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13399 Newcastle Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "WA",
            "postal_code": "980593290",
            "country_code": "US",
            "telephone_number": "425-659-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOY",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD60470116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, WA

Sources for this page

Verify at the official NPI Registry.