Individual provider Active NPI

Amy Katherine Moussa, O.D.

  • Optometrist
  • Concord, CA
National Provider Identifier
1770748550
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 13536 TPA Issued in CA
Practice address
901 Sunvalley Blvd Ste 110
Concord, CA 94520-5816
Phone
(925) 676-5638
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 13536 TPA CA Primary

Addresses

Primary practice location

901 Sunvalley Blvd Ste 110
Concord, CA 94520-5816

Mailing address

895 Trancas St
Napa, CA 94558-3040
Phone (707) 252-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140912001440 CA Practitioner - Optometry 0749409324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of Napa Valley a Medical CorporationGroup PAC ID 5496723793, 8 clinicians

Practice addresses (Care Compare)

895 Trancas St
Napa, CA 94558-3040
Phone (707) 252-2020

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 13536 TPACAMDOptometrist
13536CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center of Napa Valley, a Medical Corporation CurrentSince Aug 26, 2014 Accepting new patients
Eye Care Center of Napa Valley a Medical Corporation CurrentSince Aug 26, 2014 Accepting new patients

Locations

3417 Broadway St
Ste J3
American Cyn, CA 94503
Phone (707) 553-6020

895 Trancas St
Napa, CA 94558
Phone (707) 252-0990

Organizations & group practices 2

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1770748550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583040",
            "telephone_number": "707-252-2020",
            "fax_number": "707-252-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNVALLEY BLVD STE 110",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205816",
            "telephone_number": "925-676-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13536 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.