Individual provider Active NPI

Khaled Moumneh, DO, MSC

  • Ophthalmology Physician
  • Deland, FL
National Provider Identifier
1831775469
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS19194 Issued in FL
Practice address
1592 S Sr 15a
Deland, FL 32720-7786
Phone
(386) 734-2931
Fax
(386) 734-2939
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS19194 FL Primary

Addresses

Primary practice location

1592 S Sr 15a
Deland, FL 32720-7786

Mailing address

9 Cypress Blvd E
Homosassa, FL 34446-4714
Phone (207) 400-4418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404000860 FL Practitioner - Ophthalmology 8729483599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Touro Un Col of Osteopathic Medicine, New York, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Eye Specialists PLGroup PAC ID 8820184831, 12 clinicians

Practice addresses (Care Compare)

1100 S Grove St
Eustis, FL 32726-5524
Phone (352) 227-1999

14244 State Rd
Suite 50
Clermont, FL 34711-8003
Phone (352) 227-1999

1592 S Sr
15A
Deland, FL 32720-7786
Phone (386) 734-2931

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS19194FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates LLC Ophthalmology Current Accepting new patients
Central Florida Eye Specialists PL Ophthalmology CurrentSince May 1, 2025 Accepting new patients

Locations

14244 State Road 50
Clermont, FL 34711
Phone (352) 227-1999

1592 S State Road 15A
Deland, FL 32720
Phone (386) 734-2931

1100 S Grove St
Eustis, FL 32726
Phone (352) 227-1999

968 International Pkwy
Lake Mary, FL 32746
Phone (407) 878-6518

2715 Rebecca Ln
Orange City, FL 32763
Phone (386) 917-0404

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: kmoumneh@esp.intellechartdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1831775469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CYPRESS BLVD E",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344464714",
            "telephone_number": "207-400-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 S SR 15A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207786",
            "telephone_number": "386-734-2931",
            "fax_number": "386-734-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUMNEH",
        "first_name": "KHALED",
        "credential": "DO, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS19194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.