Michael J Moran, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4579 Issued in SD

Practice address

705 14TH Ave NE
Watertown, SD 57201-6827

Phone

(605) 886-7722

Fax

(605) 886-7723

NPI assigned

Jul 13, 2005

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hanson- Moran Eye Clinic PC

  dba Watertown Optical Company

  • Eyewear Supplier
  • Watertown, SD
  • NPI 1831375369

  Ophthalmology

  NPD Authorized official
• Hanson-Moran Eye Clinic PC

  • Ophthalmology Physician
  • Watertown, SD
  • NPI 1174543508
  Authorized official Same address or phone

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1669470589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 14TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016827",
            "telephone_number": "605-886-7722",
            "fax_number": "605-886-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 14TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016827",
            "telephone_number": "605-886-7722",
            "fax_number": "605-886-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "SD",
            "license": "4579",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": "4579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH",
            "identifier": "21438",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6301483",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Ming, MD
• Haley Rene Moeller
• Ainsley Monize
• Montera Health South Dakota LLC
• Rachel Christine Montileaux, PA-C
• Stephanie Muller
• Jared Damian Murphy, CRNA
• Marsha Murphy, RPH
• Megan Nankivel, DPT
• Need-a-Ride LLC

• Ophthalmology Physician in Watertown, SD
• Providers in Watertown, SD by specialty
• Ophthalmology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.