Kristian Andre Mostert, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2065 Issued in SC

Practice address

717 Old Trolley Rd Ste 4
Summerville, SC 29485-5287

Phone

(843) 873-1889

Fax

(843) 873-1663

NPI assigned

Jun 22, 2018

Last updated

Jun 22, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SC, CT, CO3 enrollments

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 3

Specialty

Optometry

Education

Southern College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All About Eyes, LLCGroup PAC ID 3971797051, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

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

• All About Eyes, LLC

  • Optometrist
  • Centennial, CO
  • NPI 1912224585
  Medicare reassignment Care Compare group NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  NPD (past)
• All About Vision, LLC

  • Optician
  • Centennial, CO
  • NPI 1639509375
  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1043705049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4854 ROCKING PORCH LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856603",
            "telephone_number": "803-397-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 OLD TROLLEY RD STE 4",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855287",
            "telephone_number": "843-873-1889",
            "fax_number": "843-873-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTERT",
        "first_name": "KRISTIAN",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Morrison
• Amanda N Morse
• David Morse, DPT
• Mosaic Milestones Child and Family Therapy LLC
• Kristal Moses, FNP-C
• Motherly Love LLC
• Patricia F Moura, LMHC, LPC
• Mouths in Motion Speech Therapy Services, LLC
• Krystal Anne Mozny, MSN, NP-C
• Erica Nicole Mueller, DMD

• Optometrist in Summerville, SC
• Providers in Summerville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.