Moses Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6684TG Issued in TX

Legal business name

MOSES VISION CARE LLC

Practice address

4500 Veterans Memorial Blvd
Metairie, LA 70006-5330

Phone

(504) 454-3791

Fax

(504) 456-3058

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Broderick Moses, O.D.NPI 1245342898

Title

Optometrist

Phone

(832) 859-2394

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Broderick Devon Moses, O.D.

  • Optometrist
  • Metairie, LA
  • NPI 1245342898
  Medicare reassignment Authorized official
• Bereket Haileab Tsegai, O.D.

  • Optometrist
  • Houston, TX
  • NPI 1649602962
  NPD

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1417146994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 VETERANS MEMORIAL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065330",
            "telephone_number": "504-454-3791",
            "fax_number": "504-456-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 VETERANS MEMORIAL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065330",
            "telephone_number": "504-454-3791",
            "fax_number": "504-456-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "BRODERICK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "832-859-2394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6684TG",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "1383-519T",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "6684TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "1417146994",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1627348",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drew B Morvant, D.D.S.
• Morvant'S Surgical Garments
• Morvants Surgical Garments
• Emily Michelle Moseley
• Jennifer Herques Moseley, LCSW
• Broderick Devon Moses, O.D.
• Damien Anthony Moses X, BA PSYCHOLOGY
• Jareion Angel Moses
• Tailar B Moses
• Mariana Mosquera, M.ED, NCC, LPC

• Optometrist in Metairie, LA
• Providers in Metairie, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.