Jennifer Moon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003043 Issued in GA

Practice address

5315 Windward Pkwy
Alpharetta, GA 30004-8915

Phone

(678) 393-2025

NPI assigned

Jul 27, 2017

Last updated

Jul 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Windward Eye CareGroup PAC ID 3577630326, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Windward Eye Care

  • Optometrist
  • Alpharetta, GA
  • NPI 1013175652
  Medicare reassignment Care Compare group NPD
• Windward Eye Care, Inc.

  dba Alpharetta Eye Clinic

  • Optometrist
  • Alpharetta, GA
  • NPI 1679710552
  NPD

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1821512294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 IMES WAY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 WINDWARD PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048915",
            "telephone_number": "678-393-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Reich Montalvo, LCSW
• Carolina M Montes, MD
• Robert Montes, PH.D.
• Stephanie G Montwid, LPC
• Carlyne Mary Moody, LMSW
• Dajavon Jarrie Moore-Adu, LCSW
• Breanna Kaitlynn Moore
• Harmony BJ Moore
• John Gammon Moore, M.D.
• Joseph Moore

• Optometrist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.