Individual provider Active NPI

Justin Moyer

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1023485158
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004931 Issued in MI
Practice address
3275 Tittabawassee Rd
Saginaw, MI 48604-9436
Phone
(989) 399-3477
NPI assigned
Aug 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004931 MI Primary

Addresses

Primary practice location

3275 Tittabawassee Rd
Saginaw, MI 48604-9436

Mailing address

5895 Weiss St
Apt. I-2
Saginaw, MI 48603-2752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170608001093 OH Practitioner - Optometry 4880962257 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Main Optometry LLCGroup PAC ID 6800943325, 4 clinicians

Practice addresses (Care Compare)

107 S Main St
Ada, OH 45810-1240
Phone (419) 634-2921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004931MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Eye Care, Inc. Optometrist CurrentSince Jul 5, 2017 Accepting new patients
SVS Vision Inc Optometrist Current Accepting new patients
Spectrum Eye Care Inc Optometrist CurrentSince Jul 5, 2017 Accepting new patients
SVS Vision Inc Optometrist CurrentSince May 1, 2020 Accepting new patients
Eyes on Main Optometry LLC Optometrist CurrentSince Mar 31, 2022 Accepting new patients
Eyes on Main Optometry LLC Optometrist CurrentSince Mar 31, 2022 Accepting new patients
SVS Vision Inc Optometrist CurrentSince May 1, 2020 Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

107 S Main St
Ada, OH 45810
Phone (419) 634-2921

7710A Montgomery Rd
Cincinnati, OH 45236
Phone (513) 791-5911

15840 Medical Dr S
Ste A
Findlay, OH 45840
Phone (419) 422-6190

334 S Main St
Findlay, OH 45840
Phone (419) 422-2015

2720 Elida Rd
Ste 124
Lima, OH 45805
Phone (419) 225-7100

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-spectrum

Organizations & group practices 9

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1023485158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 WEISS ST",
            "address_2": "APT. I-2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 TITTABAWASSEE RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049436",
            "telephone_number": "989-399-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.