Active NPI
Thomas A Moser, O.D.
- Optometrist
- Mesa, AZ
National Provider Identifier
1821301029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1750
- Practice address
- 1423 S Higley Rd
Ste 127
Mesa, AZ 85206-3429 - Phone
- (480) 505-6206
- Fax
- (480) 505-6225
- NPI assigned
- Jul 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1750 | AZ | Primary |
Addresses
Primary practice location
1423 S Higley Rd
Ste 127
Mesa, AZ 85206-3429
Mailing address
1024 N Constellation Way
Gilbert, AZ 85234-3902
Phone (614) 805-0487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
212 W 9TH St
MC Cook, NE 69001-3515
Phone (308) 345-2954
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1750 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Family Vision Clinic LLC | Optometrist | Current | Accepting new patients |
| Burrows Vision Clinic LLC | Optometrist | Past | Accepting new patients |
| Tom Sowash OD & Associates PC | Optometrist | Past | Accepting new patients |
| Visionworks Inc | Past | Accepting new patients |
Locations
212 W 9th St
McCook, NE 69001
Phone (308) 345-2954
Organizations & group practices 4
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.
-
- Optometrist
- MC Cook, NE
- NPI 1043608722
-
- Optometrist
- Chandler, AZ
- NPI 1174627202
-
- Eyewear Supplier
- Gilbert, AZ
- NPI 1306099643
-
- Optometrist
- MC Cook, NE
- NPI 1821202342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1821301029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 N CONSTELLATION WAY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852343902",
"telephone_number": "614-805-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 S HIGLEY RD",
"address_2": "STE 127",
"city": "MESA",
"state": "AZ",
"postal_code": "852063429",
"telephone_number": "480-505-6206",
"fax_number": "480-505-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-16",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.