Edwin Burnett Moss, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

918096T Issued in LA

Practice address

800 Main St
Minden, LA 71055-3349

Phone

(318) 377-2020

Fax

(318) 377-9833

NPI assigned

Aug 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Optometry

Education

Southern College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edwin B Moss

  dba Moss Eyecare Center

  • Durable Medical Equipment & Medical Supplies
  • Springhill, LA
  • NPI 1568541654
  NPD (past) Authorized official
• Edwin B. Moss

  dba Moss Eyecare Center

  • Durable Medical Equipment & Medical Supplies
  • Minden, LA
  • NPI 1154491488
  Authorized official Same address or phone

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801903638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553349",
            "telephone_number": "318-377-2020",
            "fax_number": "318-377-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553349",
            "telephone_number": "318-377-2020",
            "fax_number": "318-377-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "EDWIN",
        "middle_name": "BURNETT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "918096T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1363871",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Moody
• Mali Moore
• Shatoria Moore
• Christy Leann Morales, PHARMD
• Allen Ray Mosley, NP
• Mountain of Grace Counseling Group, LLC
• Meagan Camille Muellenschlader, RN
• Musgrove Consulting LLC (Minden Counseling Associates)
• Audria Lynette Musgrove, MA, LPC, BC-TMH
• Murshed Nawaz, AGACNP-BC

• Optometrist in Minden, LA
• Providers in Minden, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.