Active NPI
Susan Moss, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1275838401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3668T
- Practice address
- 2 Chelsea Blvd
Houston, TX 77006-6202 - Phone
- (713) 524-2525
- Fax
- (713) 795-0565
- NPI assigned
- Jan 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3668T | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 3668T | TX | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 3668T | TX | |
| Pediatric Optometrist | 152WP0200X | 3668T | TX | |
| Sports Vision Optometrist | 152WS0006X | 3668T | TX | |
| Vision Therapy Optometrist | 152WV0400X | 3668T | TX |
Addresses
Primary practice location
2 Chelsea Blvd
Houston, TX 77006-6202
Mailing address
2 Chelsea Blvd
Houston, TX 77006-6202
Phone (713) 524-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3668T | TX | MD | Pediatric Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1275838401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CHELSEA BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770066202",
"telephone_number": "713-524-2525",
"fax_number": "713-795-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHELSEA BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770066202",
"telephone_number": "713-524-2525",
"fax_number": "713-795-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3668T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "3668T",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "TX",
"license": "3668T",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "3668T",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "TX",
"license": "3668T",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "TX",
"license": "3668T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.