Active NPI
David Andrew Moon, OD
- Optometrist
- Yakima, WA
National Provider Identifier
1831116847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00004074
- Practice address
- 3902 Creekside Loop
Suite 110
Yakima, WA 98902-4876 - Phone
- (509) 452-6611
- Fax
- (509) 248-0621
- NPI assigned
- Jul 16, 2006
- 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 | OD00004074 | WA | Primary |
Addresses
Primary practice location
3902 Creekside Loop
Suite 110
Yakima, WA 98902-4876
Mailing address
3902 Creekside Loop
Suite 110
Yakima, WA 98902-4876
Phone (509) 452-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Pacific University - College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1410 Lakeside CT
Suite 103
Yakima, WA 98902-7305
Phone (509) 453-2010
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.47 of 100
- Quality
- 88.94
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Eye Spcialists | Optometrist | Current | Accepting new patients |
Organizations & group practices 1
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": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1831116847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 CREEKSIDE LOOP",
"address_2": "SUITE 110",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989024876",
"telephone_number": "509-452-6611",
"fax_number": "509-248-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 CREEKSIDE LOOP",
"address_2": "SUITE 110",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989024876",
"telephone_number": "509-452-6611",
"fax_number": "509-248-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "DAVID",
"middle_name": "ANDREW",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00004074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.