Jeffrey Scott Mootz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2097 Issued in MN

Practice address

303 Valley Green Square
Le Sueur, MN 56058

Phone

(507) 665-3366

Fax

(507) 665-3990

NPI assigned

Oct 17, 2006

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 MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Le Sueur Eyecare Center LLC

  • Optometrist
  • Le Sueur, MN
  • NPI 1932268257
  Medicare reassignment NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417037730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 VALLEY GREEN SQUARE",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "56058",
            "telephone_number": "507-665-3366",
            "fax_number": "507-665-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 VALLEY GREEN SQUARE",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "56058",
            "telephone_number": "507-665-3366",
            "fax_number": "507-665-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTZ",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F Logue, DC
• Midwest Foot and Ankle Specialists, LLC
• Minnesota Valley Health Center Inc
• Minnesota Valley Health Center Inc
• Minnesota Valley Health Center Inc
• Lynn O'Brien, EDD,LPCC-S,NCC,RPT
• Oak Terrace Senior Housing of Le Sueur
• Emma Panning, OD
• Physio Strong LLC
• Thea Elizabeth Riebel

• Optometrist in Le Sueur, MN
• Providers in Le Sueur, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.