NPIMap

Organization Active NPI

Moser & Moser Optometrists, Inc

  • Optometrist
  • Elwood, IN
National Provider Identifier
1306039763
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001779 Issued in IN
Legal business name
MOSER & MOSER OPTOMETRISTS, INC
Practice address
1900 S P St
Elwood, IN 46036-3333
Phone
(765) 552-7376
Fax
(765) 552-7377
NPI assigned
Aug 20, 2007
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dr. Rebecca L Moser, ODNPI 1982774014
Title
Secretary
Phone
(765) 552-7376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001778 IN
Optometrist 152W00000X 18001779 IN Primary

Addresses

Primary practice location

1900 S P St
Elwood, IN 46036-3333

Mailing address

1900 S P St
Elwood, IN 46036-3333
Phone (765) 552-7376

Other identifiers 2

IdentifierTypeStateIssuer
100170840AMedicaidIN
100170930AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160411001412 IN Part B Supplier - Clinic/Group Practice 3072631878 Receives reassigned benefits from 3 practitioners
Practice locations: Elwood, IN

National Provider Directory

National Provider Directory

Locations

1900 S P St
Elwood, IN 46036
Phone (765) 552-7376

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1306039763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S P ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460363333",
            "telephone_number": "765-552-7376",
            "fax_number": "765-552-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S P ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460363333",
            "telephone_number": "765-552-7376",
            "fax_number": "765-552-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSER & MOSER OPTOMETRISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "765-552-7376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001778",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100170840A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100170930A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.