Jeffrey William Moon, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35C.003813 Issued in OH

Practice address

1000 Regency CT Ste 100
Toledo, OH 43623-3074

Phone

(419) 882-0588

Fax

(419) 885-3070

NPI assigned

Jun 12, 2018

Last updated

Jul 7, 2026By 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 2

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Associated Eye Care Inc

  dba Optical Illusion

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1720155534
  Medicare reassignment

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1073006318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REGENCY CT STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233074",
            "telephone_number": "419-882-0588",
            "fax_number": "419-885-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 REGENCY CT STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233074",
            "telephone_number": "419-882-0588",
            "fax_number": "419-885-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 W Wooster St Ste 216",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434022650",
            "country_code": "US",
            "telephone_number": "419-352-5500",
            "fax_number": "419-352-5577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2817 Rock Merritt Ave Stop A",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283107394",
            "country_code": "US",
            "telephone_number": "910-907-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35C.003813",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2022-02655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181720",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deidra Montrie, CRNA
• Reka Monus
• Raymond Cyril Moody Jr.
• Ryan Oneal Moody Sr.
• Symone M Moody
• Moonlight Care Services LLC (Moonlight Care Services)
• Moonrise Counseling LLC
• Moore & Lane Healthcare Services, LLC (1 Family Care, LLC)
• Alexis B Moore
• Alicia Philana Moore

• Ophthalmology Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.