Individual provider Active NPI

Binh T Moore, OD

  • Optometrist
  • Bethel, CT
National Provider Identifier
1598882490
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005870 Issued in NY
Practice address
7 Stony Hill Rd
Bethel, CT 06801-1030
Phone
(203) 794-0095
Fax
(203) 797-8602
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005870 NY Primary

Addresses

Primary practice location

7 Stony Hill Rd
Bethel, CT 06801-1030

Mailing address

34 Heather Dr
Stamford, CT 06903-2122
Phone (203) 324-1769

Other practice location 1

3210 Broadway
New York, NY 10027-2340
Phone (212) 665-5051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20140328001758 CT Practitioner - Optometry 0345471678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Stony Hill Rd
Bethel, CT 06801-1030
Phone (203) 794-0095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005870NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Binh Moore and Associates LLC Optometrist CurrentSince Jan 24, 2014 Accepting new patients
VNV Optical International, Corp Optometrist Past Accepting new patients

Locations

7 Stony Hill Rd
Bethel, CT 06801
Phone (203) 448-1030

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1598882490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HEATHER DR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069032122",
            "telephone_number": "203-324-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011030",
            "telephone_number": "203-794-0095",
            "fax_number": "203-797-8602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3210 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100272340",
            "country_code": "US",
            "telephone_number": "212-665-5051",
            "fax_number": "212-222-2083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BINH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

Verify at the official NPI Registry.