Active NPI
Holly Moskos, O.D.
- Optometrist
- Middleboro, MA
National Provider Identifier
1174535173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4354
- Practice address
- 511 W Grove St
Suite #101
Middleboro, MA 02346-1458 - Phone
- (508) 947-7321
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4354 | MA | Primary |
Addresses
Primary practice location
511 W Grove St
Suite #101
Middleboro, MA 02346-1458
Mailing address
212 Forbes Rd
Rochester, MA 02770-1039
Phone (774) 406-9226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W17490 | Other | MEDICARE | |
| 0708194 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
511 W Grove St
Suite 101
Middleboro, MA 02346-1479
Phone (508) 947-7321
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4354 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savard & Moskos Eye Health Care, LLC | Current | Accepting new patients | |
| Savard & Moskos Eye Health Care, LLC | Optometrist | Current | Accepting new patients |
Locations
511 W Grove St
Ste 101
Middleboro, MA 02346
Phone (508) 947-7321
Interoperability endpoints
- holly.moskos@direct.revolutionehr.com
Organizations & group practices 2
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.
-
- Optometrist
- Middleboro, MA
- NPI 1851579114
-
- Durable Medical Equipment & Medical Supplies
- Middleboro, MA
- NPI 1053709592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1174535173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 FORBES RD",
"city": "ROCHESTER",
"state": "MA",
"postal_code": "027701039",
"telephone_number": "774-406-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W GROVE ST",
"address_2": "SUITE #101",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023461458",
"telephone_number": "508-947-7321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKOS",
"first_name": "HOLLY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "W17490",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0708194",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.