Individual provider Active NPI

David Duane Mohon, O.D.

  • Optometrist
  • Piedmont, AL
National Provider Identifier
1316910557
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S917-TA-456 Issued in AL
Practice address
801 Memorial Dr
Piedmont, AL 36272-6632
Phone
(256) 447-6413
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S917-TA-456 AL Primary

Addresses

Primary practice location

801 Memorial Dr
Piedmont, AL 36272-6632

Mailing address

801 Memorial Dr
Piedmont, AL 36272-6632
Phone (256) 447-6413

Other identifiers 2

IdentifierTypeStateIssuer
51095563MOHOtherALBLUE CROSS BLUE SHEILD
009925920MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061129000254 AL Practitioner - Optometry 0749288777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Alabama IncGroup PAC ID 3072511013, 2 clinicians

Practice addresses (Care Compare)

630 Cleveland Ave
Attalla, AL 35954-2839
Phone (256) 305-2017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S917-TA-456ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Alabama Inc Optometrist CurrentSince Dec 1, 2006 Accepting new patients
Terry L Bonds,OD,PC Optometrist PastSince Dec 1, 2006 Accepting new patients

Locations

630 Cleveland Ave
Attalla, AL 35954
Phone (256) 305-2017

714 Ross St
Heflin, AL 36264
Phone (256) 568-0815

801 Memorial Dr
Piedmont, AL 36272
Phone (256) 447-6413

4521 Highway 431
Roanoke, AL 36274
Phone (334) 863-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1316910557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEMORIAL DR",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362726632",
            "telephone_number": "256-447-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEMORIAL DR",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362726632",
            "telephone_number": "256-447-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHON",
        "first_name": "DAVID",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S917-TA-456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "51095563MOH",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009925920",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, AL

Sources for this page

Verify at the official NPI Registry.