Nathaniel Ray Moxon

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

86817-20 Issued in WI

Practice address

10425 W North Ave Ste 140
Wauwatosa, WI 53226-2400

Phone

(414) 877-6414

NPI assigned

Aug 29, 2017

Last updated

Jan 25, 2026By the provider in NPPES

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 IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Eye Care of Wisconsin SC

  • Ophthalmology Physician
  • Wauwatosa, WI
  • NPI 1992350375
  NPD

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1275050361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE STE 140",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262400",
            "telephone_number": "414-877-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE STE 140",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262400",
            "telephone_number": "414-877-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOXON",
        "first_name": "NATHANIEL",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "86817-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilton Morris
• Morrish Awakenings LLC
• Stephen Andrew Moskop
• Sheryl L Moss, M.D.
• Laila Mossa-Basha, DO
• Constance M Moynihan, LCSW
• MSL Home Care, Inc (ComForcare Senior Services)
• Cherish Mudgett, RHD
• Jennifer L Muehr, PT
• Kathleen Mueller, P.T.

• Ophthalmology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2026; 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.