Active NPI
Barry Robert Moss, O.D.
- Optometrist
- Lone Tree, CO
National Provider Identifier
1316941875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1954
- Practice address
- 7817 Park Meadows Dr
Lone Tree, CO 80124-2547 - Phone
- (720) 982-3244
- NPI assigned
- Jun 11, 2005
- Last updated
- Nov 27, 2007
- 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 | 1954 | CO | Primary |
Addresses
Primary practice location
7817 Park Meadows Dr
Lone Tree, CO 80124-2547
Mailing address
911 S Quintero CT
Aurora, CO 80017-3879
Phone (720) 982-3244
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1954 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1316941875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 S QUINTERO CT",
"city": "AURORA",
"state": "CO",
"postal_code": "800173879",
"telephone_number": "720-982-3244",
"fax_number": "720-748-7623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7817 PARK MEADOWS DR",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801242547",
"telephone_number": "720-982-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "BARRY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-11",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.