Danelle F Moch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

622 Issued in ND

Practice address

1221 W Divide Ave
Suite 1
Bismarck, ND 58501-1290

Phone

(701) 224-0661

Fax

(701) 224-0663

NPI assigned

Aug 19, 2005

Last updated

Sep 4, 2012By the provider in NPPES

Sex

Female

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 ND

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

Pacific University - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center of the Dakotas, PCGroup PAC ID 7911965041, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: danellemoch@direct.revolutionehr.com

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.

• Eye Center of the Dakotas, PC

  dba Eye Center of the Dakotas

  • Clinic/Center
  • Bismarck, ND
  • NPI 1548360761
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1255323796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 BAY SHORE PL SE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585546261",
            "telephone_number": "701-663-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W DIVIDE AVE",
            "address_2": "SUITE 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011290",
            "telephone_number": "701-224-0661",
            "fax_number": "701-224-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCH",
        "first_name": "DANELLE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie M Mitzel, LPC
• Melissa Mitzel
• MJW Orthodontics (Hometown Orthodontics)
• Cori Alex Moberg
• Bonita Moch
• Ella Harmony Moch, LMT
• Kathryn Mary Moch, RN BSN CDE
• Paula Moch, FNP-BC
• Joseph Thomas Mochinski, PT, DPT
• Sue A Mock, LAC

• Optometrist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.