P Wayne Moser, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1026 Issued in NC

Practice address

4325 Glenwood Ave
Raleigh, NC 27612-4532

Phone

(919) 782-4100

Fax

(919) 787-9573

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Networks

• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

• Direct secure messaging: paulmoser@direct.eyecare-partners.com

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1013993229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 GLENWOOD AVE",
            "address_2": "SUITE #101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126260",
            "telephone_number": "919-781-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124532",
            "telephone_number": "919-782-4100",
            "fax_number": "919-787-9573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5811 Glenwood Ave",
            "address_2": "Suite #101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276126260",
            "country_code": "US",
            "telephone_number": "919-781-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "P WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890939",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gladys Joann Moseley-Chambers, LCASA
• Charles Henry Moseley III, MPT, OCS, CSCS
• Leana Marie Moseley, RBT
• Sydney Layne Moseley, MD
• Deann Evelyn Moser-Jens, OTR/L
• Moses Watson III, DDS, PA
• Florence Cottrell Moses, PT
• Helen Moses
• Holly Blanc Moses, MS
• Jan Marie Moses, CNM

• Optometrist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.