Individual provider Active NPI

Priya Filinto Moore

  • Optometrist
  • Norman, OK
National Provider Identifier
1073286266
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3136 Issued in OK
Practice address
1021 24TH Ave NW
Norman, OK 73069-6365
Phone
(405) 329-3937
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3136 OK Primary

Addresses

Primary practice location

1021 24TH Ave NW
Norman, OK 73069-6365

Mailing address

2817 Drakestone Ave
Oklahoma City, OK 73120-4560
Phone (405) 406-5062

Other names 1

  • Miss Priya Madison Filinto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210805000059 OK Practitioner - Optometry 6608270178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Trends LLCGroup PAC ID 0042116717, 2 clinicians

Practice addresses (Care Compare)

1021 24TH Ave NW
Norman, OK 73069-6365
Phone (405) 329-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3136OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Trends LLC Optometrist CurrentSince Jul 28, 2021 Accepting new patients

Locations

1021 24th Ave NW
Norman, OK 73069
Phone (405) 329-3937

Organizations & group practices 1

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1073286266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 DRAKESTONE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204560",
            "telephone_number": "405-406-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696365",
            "telephone_number": "405-329-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PRIYA",
        "middle_name": "FILINTO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYA",
            "last_name": "FILINTO",
            "middle_name": "MADISON",
            "prefix": "MISS",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.