Steven Judson Moon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003553 Issued in PA

Practice address

1501 N Broad St Ste 7
Philadelphia, PA 19122-3319

Phone

(215) 866-1742

Fax

(215) 866-1759

NPI assigned

Jun 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trend Eye Care II LLCGroup PAC ID 7416264247, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Trend Eye Care II LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1285029223
  Medicare reassignment Care Compare group
• Harbison Eye Care LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1174182588
  Medicare reassignment NPD
• New World Vision Center, Inc.

  • Optometrist
  • Philadelphia, PA
  • NPI 1427124221
  Medicare reassignment NPD
• Trend Eye Care LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1457780595
  Medicare reassignment NPD

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1346809738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N BROAD ST STE 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223319",
            "telephone_number": "215-866-1742",
            "fax_number": "215-866-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BROAD ST STE 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223319",
            "telephone_number": "215-866-1742",
            "fax_number": "215-866-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "STEVEN",
        "middle_name": "JUDSON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Tindal Moon, PSY D
• Francis Moon
• Jeffrey Moon, MD
• Jeffrey Moon, DPT
• Julia L Moon, MD, MPH
• Sun Moon, PSY.D.
• Victoria Moon
• Yoon Ji Moon
• Steven D. Moonblatt, M.D.
• Meredith Mooney-Levin, CRNA

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.

Verify at the official NPI Registry.