Individual provider Active NPI

Moshe Schwartz, O.D.

  • Optometrist
  • Owings Mills, MD
National Provider Identifier
1720091408
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1479 Issued in MD
Practice address
10461 Mill Run Cir Ste 100
Owings Mills, MD 21117-5535
Phone
(410) 581-0505
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X TA1479 MD
Pediatric Optometrist 152WP0200X TA1479 MD
Vision Therapy Optometrist 152WV0400X TA1479 MD
Optometrist 152W00000X TA1479 MD Primary

Addresses

Primary practice location

10461 Mill Run Cir Ste 100
Owings Mills, MD 21117-5535

Mailing address

10461 Mill Run Cir Ste 100
Owings Mills, MD 21117-5535
Phone (410) 581-0505

Other identifiers 1

IdentifierTypeStateIssuer
403911400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040419000589 MD Practitioner - Optometry 4880689835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10461 Mill Run Cir
Suite 100
Owings Mills, MD 21117-5535
Phone (410) 581-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
TA1479MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye 4 Kids Vision Center Optometrist CurrentSince Jun 1, 2005 Accepting new patients
Bethesda Optometry LLC Optometrist Past Accepting new patients
Visionworks, Inc. Optometrist Past Accepting new patients

Locations

10461 Mill Run Cir
Ste 100
Owings Mills, MD 21117
Phone (410) 581-0505

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1720091408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 MILL RUN CIR STE 100",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175535",
            "telephone_number": "410-581-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 MILL RUN CIR STE 100",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175535",
            "telephone_number": "410-581-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MOSHE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA1479",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MD",
            "license": "TA1479",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "TA1479",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403911400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.