Eli Ben-Moshe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10475T Issued in CA

Practice address

4822 Newport Ave
San Diego, CA 92107-3111

Phone

(619) 222-0559

Fax

(619) 222-0231

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

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.

• Newport Avenue Optometry Inc.

  • Optometrist
  • San Diego, CA
  • NPI 1306497888
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1134201726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 NEWPORT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073111",
            "telephone_number": "619-222-0559",
            "fax_number": "619-222-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 NEWPORT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073111",
            "telephone_number": "619-222-0559",
            "fax_number": "619-222-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-MOSHE",
        "first_name": "ELI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10475T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn S. Bemiller, M.D.
• Timothy Allen Bemiller, M.D.
• Bemobile Physical Therapy PC
• Ben C Edmunds DDS Inc
• Sharona Ben-Haim, M.D.
• Keren Ben-Moshe
• Ayala Ben-Tall, PH.D.
• Ori Ben-Yehuda, M.D.
• Dror Ben-Zeev, PH.D.
• Jeffrey Allen Benabio, M.D.

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.