Individual provider Active NPI

Christopher J Moshoures, O.D.

  • Optometrist
  • Shallotte, NC
National Provider Identifier
1770537268
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0868 Issued in NC
Practice address
4830 Main St
Shallotte, NC 28470-1912
Phone
(910) 754-2020
Fax
(910) 754-8811
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0868 NC Primary

Addresses

Primary practice location

4830 Main St
Shallotte, NC 28470-1912

Mailing address

PO Box 867
Shallotte, NC 28459-0867
Phone (910) 754-2020

Other identifiers 3

IdentifierTypeStateIssuer
890158BMedicaidNC
09626OtherNCBLUE CROSS BLUE SHIELD OF NC
1770537268OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040510001130 NC Practitioner - Optometry 9436146479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Christopher J. Moshoures Optometrist PAGroup PAC ID 5193882603, 8 clinicians

Practice addresses (Care Compare)

208 Smith Ave
Shallotte, NC 28470-4458
Phone (910) 754-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Christopher J. Moshoures Optometrist PA Optometrist CurrentSince Aug 1, 1973 Accepting new patients

Locations

10195 Beach Dr SW
Calabash, NC 28467
Phone (910) 575-3937

4830 Main St
Shallotte, NC 28470
Phone (910) 754-2020

208 Smith Ave
Shallotte, NC 28470
Phone (910) 754-2020

1620 N Howe St
Southport, NC 28461
Phone (910) 457-9920

Interoperability endpoints

  • Direct secure messaging: cmoshoures@visionsquare.eyefinity-direct.com

Organizations & group practices 1

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1770537268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284590867",
            "telephone_number": "910-754-2020",
            "fax_number": "910-754-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701912",
            "telephone_number": "910-754-2020",
            "fax_number": "910-754-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHOURES",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890158B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NC",
            "identifier": "09626",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1770537268",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.