Active NPI
Kiersten Taylor Moon, OD
- Optometrist
- Talladega, AL
National Provider Identifier
1477112274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-E22
- Practice address
- 109 Coosa St E Ste a
Talladega, AL 35160-2154 - Phone
- (256) 362-4872
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-E22 | AL | Primary |
Addresses
Primary practice location
109 Coosa St E Ste a
Talladega, AL 35160-2154
Mailing address
109 Coosa St E
Ste a
Talladega, AL 35160-2154
Phone (919) 614-0268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Coosa St E
Suite a
Talladega, AL 35160-2154
Phone (256) 362-4872
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.3 of 100
- Quality
- 84.98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-E22 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Eye Clinic PC | Optometrist | Current | Accepting new patients |
Locations
109 Coosa St E
Ste A
Talladega, AL 35160
Phone (256) 362-4872
Organizations & group practices 1
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.
-
- Optometrist
- Talladega, AL
- NPI 1639351372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1477112274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 COOSA ST E",
"address_2": "STE A",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602154",
"telephone_number": "919-614-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 COOSA ST E STE A",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602154",
"telephone_number": "256-362-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "KIERSTEN",
"middle_name": "TAYLOR",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-E22",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Talladega, AL
- Merit Health Care, PC
- Robin L Merkel, C.R.N.P.
- Michael R. Price Jr. DMD LLC (Talladega Dental Associates)
- Tracie Michelle Mitchell, CRNP
- Modern Hearing Aid Center Inc. (East Alabama Hearing Clinic)
- Monroe Moore Jr., RPH
- Northeast Alabama Kidney Clinic, Inc. (RCG Talladega)
- Northland Hearing Centers, Inc. (Pattillo Balance & Hearing Center)
- Northland Hearing Centers, Inc.
- Northstar EMS Inc (NorthStar Paramedic Svcs-Talladega)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.