Individual provider Active NPI

Patricia M. Moser, O.D.

  • Optometrist
  • Downers Grove, IL
National Provider Identifier
1376603746
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46008530 Issued in IL
Practice address
4958 Forest Ave
Downers Grove, IL 60515-3508
Phone
(630) 737-1001
Fax
(630) 737-1003
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46008530 IL Primary

Addresses

Primary practice location

4958 Forest Ave
Downers Grove, IL 60515-3508

Mailing address

4958 Forest Ave
Downers Grove, IL 60515-3508
Phone (630) 737-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20091105000024 IL Practitioner - Optometry 2769520170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downers Grove Eye Center PCGroup PAC ID 3173416989, 5 clinicians

Practice addresses (Care Compare)

4958 Forest Ave
Downers Grove, IL 60515-3508
Phone (630) 737-1001

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Quality
99.1
Improvement activities
40
Cost
92.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46008530ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co. Inc. Optometrist CurrentSince Sep 19, 2016 Accepting new patients
Rosin Optical Co., Inc. Optometrist CurrentSince Sep 19, 2016 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Downers Grove Eye Center, PC Optometrist CurrentSince Jan 1, 2016 Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

4958 Forest Ave
Downers Grove, IL 60515
Phone (630) 737-1001

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

Interoperability endpoints

  • Direct secure messaging: patricia.moser.p1@direct.hinsdaleeyecenter.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: patricia.moser.p1@direct.dgeyecenter.nextgenshare.com

Organizations & group practices 4

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1376603746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153508",
            "telephone_number": "630-737-1001",
            "fax_number": "630-737-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153508",
            "telephone_number": "630-737-1001",
            "fax_number": "630-737-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "PATRICIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46008530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.