Individual provider Active NPI

Alison Rae Moses

  • Optometrist
  • Fargo, ND
National Provider Identifier
1790060846
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
721 Issued in ND
Practice address
1717 University Dr S
Fargo, ND 58103-4939
Phone
(701) 234-2119
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 721 ND Primary

Addresses

Primary practice location

1717 University Dr S
Fargo, ND 58103-4939

Mailing address

PO Box 2168
Fargo, ND 58107-2168
Phone (701) 234-2119

Other names 1

  • Alison Rae Edwards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20140916002940 ND Practitioner - Optometry 8123247574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Fargo Eyecare Associates PCGroup PAC ID 0244507754, 5 clinicians
Eyecare Associates, PCGroup PAC ID 0648239301, 5 clinicians

Practice addresses (Care Compare)

3139 Bluestem Dr
West Fargo, ND 58078-8059
Phone (701) 353-7136

3902 13 Ave S
Fargo, ND 58103-3357
Phone (701) 282-5880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
721NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Fargo Eyecare Associates PC Optometrist CurrentSince Aug 14, 2019 Accepting new patients
Eyecare Associates, PC Optometrist CurrentSince Aug 14, 2019 Accepting new patients

Locations

4360 13th Ave S
Fargo, ND 58103
Phone (701) 282-5880

3902 13th Ave S
Fargo, ND 58103
Phone (701) 282-5880

3139 Bluestem Dr
West Fargo, ND 58078
Phone (701) 353-7136

3139 Bluestem Dr
Ste 112
West Fargo, ND 58078
Phone (701) 353-7136

Interoperability endpoints

  • Direct secure messaging: armoses@fargoeyecare.eyeclinicdirect.net

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1790060846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581072168",
            "telephone_number": "701-234-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034939",
            "telephone_number": "701-234-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "ALISON",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "EDWARDS",
            "middle_name": "RAE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.