Individual provider Active NPI

Thomas L Moser, OD

  • Optometrist
  • Elwood, IN
National Provider Identifier
1619047768
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001779B Issued in IN
Practice address
1900 S P St
Elwood, IN 46036-3333
Phone
(765) 552-7376
Fax
(765) 552-7377
NPI assigned
Nov 8, 2006
Last updated
Aug 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001779B IN Primary

Addresses

Primary practice location

1900 S P St
Elwood, IN 46036-3333

Mailing address

1900 S P St
Elwood, IN 46036-3333
Phone (765) 552-7376

Other identifiers 1

IdentifierTypeStateIssuer
100170930AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101018001220 IN Practitioner - Optometry 8325153448 Reassigns benefits to 1 organization
Practice locations: Elwood, IN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Moser and Moser Optometrists, IncGroup PAC ID 3072631878, 3 clinicians

Practice addresses (Care Compare)

1900 S P St
Elwood, IN 46036-3333
Phone (765) 552-7376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18001779BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Moser & Moser Optometrists, Inc Optometrist CurrentSince Jun 30, 1981 Accepting new patients

Locations

1900 S P St
Elwood, IN 46036
Phone (765) 552-7376

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1619047768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S P ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460363333",
            "telephone_number": "765-552-7376",
            "fax_number": "765-552-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S P ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460363333",
            "telephone_number": "765-552-7376",
            "fax_number": "765-552-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001779B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100170930A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, IN

Sources for this page

Verify at the official NPI Registry.