Individual provider Active NPI

Matthew Moe, OD

  • Optometrist
  • Sioux Falls, SD
National Provider Identifier
1043053481
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
809 Issued in SD
Practice address
2414 S Louise Ave
Sioux Falls, SD 57106-4318
Phone
(605) 362-9255
NPI assigned
Jun 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 809 SD Primary

Addresses

Primary practice location

2414 S Louise Ave
Sioux Falls, SD 57106-4318

Mailing address

5501 E 18TH St Apt 444
Sioux Falls, SD 57110-2841
Phone (605) 521-9936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20240702003724 SD Practitioner - Optometry 2769926658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Eyecare Specialties of South Dakota PCGroup PAC ID 1759875123, 9 clinicians
Insight Eye Care Professionals PCGroup PAC ID 6800155094, 5 clinicians

Practice addresses (Care Compare)

1700 S Highline Ave
Sioux Falls, SD 57110-1004
Phone (605) 274-7201

2414 S Louise Ave
Sioux Falls, SD 57106-4318
Phone (605) 362-9255

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
809SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Eye Care Professionals, P.C. Optometrist CurrentSince Jun 1, 2024 Accepting new patients

Locations

502 S Foss Ave
Sioux Falls, SD 57110
Phone (605) 331-4273

2414 S Louise Ave
Sioux Falls, SD 57106
Phone (605) 361-9833

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1043053481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 E 18TH ST APT 444",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571102841",
            "telephone_number": "605-521-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S LOUISE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064318",
            "telephone_number": "605-362-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.