Individual provider Active NPI

Anne D.M.U. Moy, O.D.

  • Optometrist
  • Berkeley, CA
National Provider Identifier
1184788713
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10908TLG Issued in CA
Practice address
2222 Bancroft Ext
Berkeley, CA 94720-4303
Phone
(510) 643-2020
Fax
(510) 642-9422
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10908TLG CA Primary

Addresses

Primary practice location

2222 Bancroft Ext
Berkeley, CA 94720-4303

Mailing address

2222 Bancroft Ext
Berkeley, CA 94720-4303
Phone (510) 643-2020

Other identifiers 2

IdentifierTypeStateIssuer
10908TLGOtherCALICENSE NUMBER
SD0109080OtherCAPROVIDER IDENTIFICATION

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081223000126 CA Practitioner - Optometry 0840352043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California at BerkeleyGroup PAC ID 8628083110, 57 clinicians

Practice addresses (Care Compare)

200 Minor Hall
Berkeley, CA 94720-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10908TLGCAMDOptometrist
10908CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California at Berkeley Optometrist CurrentSince May 30, 2008 Accepting new patients

Locations

200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945

230 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0609

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

Interoperability endpoints

  • Direct secure messaging: amoy348930@direct-ucsfmedicalcenter.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184788713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT EXT",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204303",
            "telephone_number": "510-643-2020",
            "fax_number": "510-642-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT EXT",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204303",
            "telephone_number": "510-643-2020",
            "fax_number": "510-642-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "ANNE",
        "middle_name": "D.M.U.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10908TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "10908TLG",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION",
            "identifier": "SD0109080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.