Fernando F Mosqueda, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

520 Main St
Evanston, IL 60202-1815

Phone

(847) 869-2020

Fax

(847) 475-4236

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Visualeyes

  • Optometrist
  • Evanston, IL
  • NPI 1851533871
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720077928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W DRUMMOND PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141693",
            "telephone_number": "773-935-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021815",
            "telephone_number": "847-869-2020",
            "fax_number": "847-475-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUEDA",
        "first_name": "FERNANDO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mollie Morris, ATR-BC, LCPC
• Laurie Morrison, MA CCC-SLP
• Margie S. Morrison, M.S.W., LCSW
• Helene Moses, LCSW
• Kenneth Moses, PHD
• Jax Anthony Mosquera
• Branden Lee Mossman, P.A.-C
• Katherine Mott, MD
• Jeanette Marie Vollert Moulthrop, M.D.
• Mark A Moulthrop, PH.D.

• Optometrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.