Active NPI
Craig Moss, O.D.
- Optometrist
- Eagle, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100338
- Practice address
- 408 S Eagle Rd Ste 100
Eagle, ID 83616-6079 - Phone
- (208) 939-2773
- NPI assigned
- Jun 5, 2015
- Last updated
- Jun 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-100338 | ID | Primary |
Addresses
Primary practice location
408 S Eagle Rd Ste 100
Eagle, ID 83616-6079
Mailing address
3100 S Whitepost Way
Eagle, ID 83616-6705
Phone (208) 985-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
355 S Eagle Rd
Eagle, ID 83616-5912
Phone (208) 938-2015
4574 N Ten Mile Rd
Suite 100
Meridian, ID 83646-7129
Phone (208) 938-2015
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100338 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Vision One PLLC | Optometrist | Current | Accepting new patients |
Locations
355 S Eagle Rd
Eagle, ID 83616
Phone (208) 938-2015
408 S Eagle Rd
Ste 100
Eagle, ID 83616
Phone (208) 939-2773
4574 N Ten Mile Rd
Ste 100
Meridian, ID 83646
Phone (208) 938-2015
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1295115087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 S WHITEPOST WAY",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166705",
"telephone_number": "208-985-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S EAGLE RD STE 100",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166079",
"telephone_number": "208-939-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "CRAIG",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-05",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.