Individual provider Active NPI

Robert Joseph Moses, O.D.

  • Optometrist
  • Merrillville, IN
National Provider Identifier
1790717866
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003410A Issued in IN
Practice address
70 E 68TH PL
Merrillville, IN 46410-3506
Phone
(219) 736-2020
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003410A IN Primary

Addresses

Primary practice location

70 E 68TH PL
Merrillville, IN 46410-3506

Mailing address

70 E 68TH PL
Merrillville, IN 46410-3506
Phone (219) 613-1230

Other identifiers 1

IdentifierTypeStateIssuer
200829100MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20061031000555 IN Practitioner - Optometry 1557368735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert W Moses OD Professional Corp.Group PAC ID 9436138617, 12 clinicians

Practice addresses (Care Compare)

117 Deanna Dr
Lowell, IN 46356-2402
Phone (219) 696-8077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003410AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W Moses O.D. Professional Corporation Optometrist CurrentSince Jun 22, 2006 Accepting new patients
Robert W Moses OD Professional Corp. Past Accepting new patients
Robert W Moses OD Professional Corp. PastSince Jun 22, 2006 Accepting new patients

Locations

1861 E Summit St
Crown Point, IN 46307
Phone (219) 617-5058

10707 Randolph St
Crown Point, IN 46307
Phone (219) 226-9477

3229 Broadway
Ste 205
Gary, IN 46409
Phone (219) 806-3000

701 W 5th Ave
Gary, IN 46402
Phone (219) 881-0655

130 S Broad St
Griffith, IN 46319
Phone (219) 924-8000

7414 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 736-2020

630 N Front St
Hebron, IN 46341
Phone (219) 995-2800

117 Deanna Dr
Lowell, IN 46356
Phone (219) 696-8077

70 E 68th Pl
Merrillville, IN 46410
Phone (219) 736-2020

7974 Wicker Ave
Saint John, IN 46373
Phone (833) 376-6737

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1790717866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 68TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103506",
            "telephone_number": "219-613-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 68TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103506",
            "telephone_number": "219-736-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003410A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200829100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.