Antonio Moran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11312 Issued in CA

Practice address

1212 Hilltop Mall Rd
Ste D-112
Richmond, CA 94806-1910

Phone

(510) 223-9770

Fax

(510) 223-9774

NPI assigned

Jan 13, 2007

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 CA

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

University of California - School of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Bay Eye Associates, a Medical CorporationGroup PAC ID 9436147980, 11 clinicians

Joe a Vargas O D Professional CorporationGroup PAC ID 2567650039, 2 clinicians

Practice addresses (Care Compare)

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.

• Joe a Vargas O D Professional Corporation

  • Optometrist
  • Ukiah, CA
  • NPI 1841592052
  Medicare reassignment Care Compare group NPD
• North Bay Eye Associates a Medical Corporation

  • Ophthalmology Physician
  • Rohnert Park, CA
  • NPI 1952418378
  Medicare reassignment Care Compare group NPD
• North Bay Eye Associates a Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Santa Rosa, CA
  • NPI 1073620415
  NPD
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1003267196
  NPD (past)

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114078607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954480127",
            "telephone_number": "510-928-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HILLTOP MALL RD",
            "address_2": "STE D-112",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061910",
            "telephone_number": "510-223-9770",
            "fax_number": "510-223-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "ANTONIO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene D Moore, MFTI
• Janae Patrice Moore
• Kyle Anthony Moore, M.D.
• Jessica Mora
• Maria Elena Morales
• Bridget Grace Moran, RNC, MSN, FNP
• Keila Moran
• Jessica Shanell Moreno, BA
• Cara E Moretti, M.D.
• Jerome Grayson Morgan Jr., MD

• Optometrist in Richmond, CA
• Providers in Richmond, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.