Pegah Mozdbar

Primary specialty

OptometristTaxonomy code 152W00000X

License

11558 Issued in TX

Practice address

10000 Research Blvd Ste E06
Austin, TX 78759-5854

Phone

(512) 890-2020

NPI assigned

Dec 1, 2025

Sex

Female

Sole proprietor

Yes

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 TX

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

International American University at Puerto Rico - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Elite Vision Group, PLLC

  • Optometrist
  • Round Rock, TX
  • NPI 1326718339
  Medicare reassignment Care Compare group
• Ods Care PLLC

  • Optometrist
  • Austin, TX
  • NPI 1700669439
  Medicare reassignment

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1477415149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 RESEARCH BLVD STE E06",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 RESEARCH BLVD STE E06",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595854",
            "telephone_number": "512-890-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZDBAR",
        "first_name": "PEGAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Carol Moya
• Nicole A Moya
• Tiffany Vanessa Moya, LVN
• James Moyle, MD
• Shokoufeh Mozaffari, PHARMACIST
• Marilyn Katherine Mozier, LPC-A
• MP Surgical Assists LLC
• MRI Centers of Texas LLC South Austin Series
• MRI Centers of Texas, LLC- North Austin Series
• MRND, LLC

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.