Active NPI
Alexander Moussa, OD
- Optometrist
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5700
- Practice address
- 1601 Brenner Ave
Salisbury, NC 28144-2515 - Phone
- (704) 638-9000
- NPI assigned
- May 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | OPC5700 | FL | Primary |
Addresses
Primary practice location
1601 Brenner Ave
Salisbury, NC 28144-2515
Mailing address
110 NW 135TH Way Unit 106
Plantation, FL 33325-7704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17781 Thelma Ave
Jupiter, FL 33458-7942
Phone (561) 746-2998
2500 Martin Luther King Jr Blvd
Panama City, FL 32405-4412
Phone (850) 784-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Center of North Florida, P.a. | Optometrist | Current | Accepting new patients |
| Sightrite Medical FL PLLC | Optometrist | Current | Accepting new patients |
| Eye Center of North Florida, P.a. | Current | Accepting new patients | |
| Eye Center of North Florida, P.a. | Optometrist | Current | Accepting new patients |
| Eye Center of North Florida, P.a. | Optometrist | Past | Accepting new patients |
Locations
575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226
1400 Main St
Chipley, FL 32428
Phone (850) 638-7333
17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998
1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800
2500 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 522-7951
10900 Hutchison Blvd
Panama City Beach, FL 32407
Phone (850) 234-1829
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
267 Broadway
Brooklyn, NY 11211
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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
- Panama City Beach, FL
- NPI 1730284118
-
- Optometrist
- Chipley, FL
- NPI 1194820571
-
- Ambulatory Surgical Clinic/Center
- Panama City, FL
- NPI 1447279369
-
- Optometrist
- Panama City, FL
- NPI 1740213529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1568029312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 NW 135TH WAY UNIT 106",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333257704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRENNER AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442515",
"telephone_number": "704-638-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSSA",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.