Active NPI
Glenn E Moyer, MD
- Ophthalmology Physician
- Bethlehem, PA
National Provider Identifier
1508867482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD 017003E
- Practice address
- 804 Delaware Ave
Bethlehem, PA 18015-1178 - Phone
- (610) 868-2235
- Fax
- (610) 868-9453
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD 017003E | PA | Primary |
Addresses
Primary practice location
804 Delaware Ave
Bethlehem, PA 18015-1178
Mailing address
804 Delaware Ave
Bethlehem, PA 18015-1178
Phone (610) 868-2235
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 441183668 | Other | RR MEDICARE | |
| 00686680 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.03 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 80.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 017003E | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Eye Group, P.C. | Ophthalmology | Current | Accepting new patients |
| Carefree Optical Inc | Past | Accepting new patients |
Locations
190 Brodhead Rd
Ste 201
Bethlehem, PA 18017
Phone (610) 861-8977
Interoperability endpoints
- gmoyer@directaddress.net
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Fountain Hill, PA
- NPI 1679075402
-
- Eyewear Supplier
- Bethlehem, PA
- NPI 1235213406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1508867482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 DELAWARE AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151178",
"telephone_number": "610-868-2235",
"fax_number": "610-868-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 DELAWARE AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151178",
"telephone_number": "610-868-2235",
"fax_number": "610-868-9453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "GLENN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD 017003E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "441183668",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00686680",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.