Individual provider Active NPI

Dawn M. Moczek, O.D.

  • Optometrist
  • West Chester, OH
National Provider Identifier
1104961457
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4576 Issued in OH
Practice address
7675 Voice of America Centre Drive
West Chester, OH 45069
Phone
(513) 777-4857
NPI assigned
Feb 21, 2007
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4576 OH Primary

Addresses

Primary practice location

7675 Voice of America Centre Drive
West Chester, OH 45069

Mailing address

7675 Voice of America Centre Dr
West Chester, OH 45069-2795
Phone (513) 313-7731

Other identifiers 1

IdentifierTypeStateIssuer
1881739142OtherOHD.M. MOCZEK OPTOMETRIST LLC

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729000810 OH Practitioner - Optometry 3779876925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7675 Voice of America Centre Dr
West Chester, OH 45069-2795
Phone (513) 777-4857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D.M.Moczek Optometrist LLC Optometrist CurrentSince Jun 14, 2016 Accepting new patients

Locations

7675 Voice of America Centre Dr
West Chester, OH 45069
Phone (513) 777-4857

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1104961457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 VOICE OF AMERICA CENTRE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692795",
            "telephone_number": "513-313-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 VOICE OF AMERICA CENTRE DRIVE",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-777-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCZEK",
        "first_name": "DAWN",
        "middle_name": "M.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.M. MOCZEK OPTOMETRIST LLC",
            "identifier": "1881739142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.