Moorpark Optometric Eyecare, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA7093T Issued in CA

Legal business name

MOORPARK OPTOMETRIC EYECARE, INC

Practice address

252 W Los Angeles Ave
Ste G
Moorpark, CA 93021-1888

Phone

(805) 520-5497

Fax

(805) 529-4987

NPI assigned

Jun 17, 2008

Last updated

Dec 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John William Wood, O.D.NPI 1033182829

Title

Optometrist/Owner

Phone

(805) 529-5497

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John William Wood, OD

  • Optometrist
  • Moorpark, CA
  • NPI 1033182829
  Authorized official Same address or phone

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1740441336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W LOS ANGELES AVE",
            "address_2": "STE G",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211888",
            "telephone_number": "805-520-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W LOS ANGELES AVE",
            "address_2": "STE G",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211888",
            "telephone_number": "805-520-5497",
            "fax_number": "805-529-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORPARK OPTOMETRIC EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "805-529-5497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA7093T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "8055295497",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MES VISION",
            "identifier": "03119",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "CA7093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca S Modglin
• Esther Moon, OTR
• Moorpark Comprehensive Medical Care a Professional Corporation (Moorpark Comprehensive Medical Group, Inc.)
• Moorpark Comprehensive Urgent Care, Inc.
• Moorpark Family Medicine Inc
• Moorpark Physical Therapy & Sport Rehab Center
• Moorpark Unified School District
• Jonathan Moossai
• Samantha Caitlyn Moshiri, LMFT
• Kristen Reincke Motley, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.