Michael J Moses O.D., Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4520-TG Issued in TX

Legal business name

MICHAEL J MOSES O.D., INC

Practice address

4104 E Stan Schlueter Loop
6
Killeen, TX 76542-7872

Phone

(254) 690-8999

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Joseph Moses, O.D.NPI 1477629814

Title

President

Phone

(254) 289-5197

Specialties & licenses 1

Addresses

Other names 1

• Quality Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Joseph Moses, O.D.

  • Optometrist
  • Killeen, TX
  • NPI 1477629814
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1295112100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 E STAN SCHLUETER LOOP",
            "address_2": "6",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765427872",
            "telephone_number": "254-690-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 E STAN SCHLUETER LOOP",
            "address_2": "6",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765427872",
            "telephone_number": "254-690-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J MOSES O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-289-5197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4520-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Killeen, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.