Corwyn Alfred Mosiman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 7532 TPA Issued in CA

Practice address

386 S Green Valley Rd
Watsonville, CA 95076-3099

Phone

(831) 724-1063

Fax

(831) 724-1067

NPI assigned

Jul 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr Sylvia K Lee, OD, PHD

  • Optometrist
  • Watsonville, CA
  • NPI 1972549442
  NPD (past)
• Green Valley Optometry

  • Optometrist
  • Watsonville, CA
  • NPI 1225505878
  NPD (past)

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1689674145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 S GREEN VALLEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763099",
            "telephone_number": "831-724-1063",
            "fax_number": "831-724-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 S GREEN VALLEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763099",
            "telephone_number": "831-724-1063",
            "fax_number": "831-724-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSIMAN",
        "first_name": "CORWYN",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 7532 TPA",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT 7532 TPA",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "OPT 7532 TPA",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "OPT 7532 TPA",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "OPT 7532 TPA",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "OPT 7532 TPA",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "OPT 7532 TPA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1396787214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Morell Planes, FNP-C
• Karina Moreno
• Sandra Morgan, REGISTERED NURSE
• Carlos Alexander Morillo-Hernandez, MD
• Michelle R. Moses, LCSW
• Phanisai Motaparti, DDS
• Erin Moulton, MA, BCBA
• Alaa A Moustafa, DDS, MS
• Nefertery Moya-Diaz
• Madhav Mukundan, D.D.S

• Optometrist in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.