Stephen Joseph Moffett, O.D. APC

Primary specialty

OptometristTaxonomy code 152W00000X

License

11550T Issued in CA

Practice address

950 Orange Ave
Coronado, CA 92118-2610

Phone

(619) 435-6221

Fax

(619) 435-6289

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephen J Moffett OD a Professional

  • Optometrist
  • Coronado, CA
  • NPI 1669651980
  Medicare reassignment Authorized official
• Dr. Rosa Optometry, Inc.

  • Optometrist
  • Encinitas, CA
  • NPI 1932238680
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1467584102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 ORANGE AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182610",
            "telephone_number": "619-435-6221",
            "fax_number": "619-435-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 ORANGE AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182610",
            "telephone_number": "619-435-6221",
            "fax_number": "619-435-6289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 N El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242863",
            "country_code": "US",
            "telephone_number": "760-634-1957",
            "fax_number": "760-634-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D. APC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "0388",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11550T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Berry MD a Professional Corporation
• Casey Lynn Middleton
• Kristina Marie Lee Miholich, PSYD
• Arthur Mischke, MD
• Tyler John Mitchell, MD
• Elsie Marie Molenaar
• Moneer Jaibaji, MD, Inc.
• Joseph Lee Moore, M.D.
• Mary Anne Morelli Haskell, D.O.
• Martha Elva Morett, DDS

• Optometrist in Coronado, CA
• Providers in Coronado, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.