Terry Donn Moehnke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1649 Issued in IA

Practice address

25 S 16TH St
Fort Dodge, IA 50501-5021

Phone

(515) 955-6720

Fax

(515) 955-3555

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

Southern College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Terry D. Moehnke, O.D., P.C.

  • Eyewear Supplier
  • Fort Dodge, IA
  • NPI 1619101326

  IA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1679567481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S 16TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015021",
            "telephone_number": "515-955-6720",
            "fax_number": "515-955-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S 16TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015021",
            "telephone_number": "515-955-6720",
            "fax_number": "515-955-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEHNKE",
        "first_name": "TERRY",
        "middle_name": "DONN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005843",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janette Patricia Miller, LMHC
• Martha J Miller, LISW
• Randall K Minion, MD
• Jordan Lee Mitzel, DPT
• Aaron Mobley, D.C.
• Sara Ann Moeller, PAC
• Rose Monson, PTA
• Kelly Moore, CADC
• Bridget Moriarty, BSN, RN
• Alissa Moss

• Optometrist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.

Verify at the official NPI Registry.