Kelly Moritz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003227 Issued in PA

Practice address

4002 Chestnut St
Philadelphia, PA 19104

Phone

(215) 921-4871

NPI assigned

Feb 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard L Jahnle MD PCGroup PAC ID 0244492882, 6 clinicians

Abraham Eye Associates LLCGroup PAC ID 0941525729, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abraham Eye Associates LLC

  • Optometrist
  • Bryn Mawr, PA
  • NPI 1396143236
  Medicare reassignment Care Compare group NPD
• Richard L Jahnle MD PC

  • Ophthalmology Physician
  • Havertown, PA
  • NPI 1689949067

  Optometrist

  Medicare reassignment Care Compare group NPD
• Chestnut St Optical Inc

  • Optician
  • Philadelphia, PA
  • NPI 1831524818
  NPD (past)
• Delaware Valley Vision Associates Group Practice, LLC

  • Ophthalmology Physician
  • King of Prussia, PA
  • NPI 1902907371
  NPD (past)
• Domenick Braccia D.O.

  • Medical Specialty Clinic/Center
  • Havertown, PA
  • NPI 1952542615
  NPD (past)
• Market St Optical Inc

  • Optician
  • Philadelphia, PA
  • NPI 1841625928
  NPD (past)

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

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1104366053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BONNYWICK DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114933",
            "telephone_number": "717-319-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-921-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 Kirkwood Hwy # A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085005",
            "country_code": "US",
            "telephone_number": "302-999-7171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 Kirkwood Hwy # A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085005",
            "country_code": "US",
            "telephone_number": "302-999-7171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Market St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191072500",
            "country_code": "US",
            "telephone_number": "267-514-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "KELLY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-26",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001391",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Morin
• Nicole Morin, M.D.
• Anna Marie Morinelli, CRNP
• Helene Elizabeth Morisi, CRNP
• Addie Moritz
• Taylor Moritz, PA-C
• Nilesh Morker
• Debrah Morkun
• Robert Morl
• James Morley, MD

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.