Nichole R. Moos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 15314 TLG Issued in CA

Practice address

1009 12TH St
Sacramento, CA 95814-3901

Phone

(916) 442-4927

Fax

(916) 442-4928

NPI assigned

Jul 20, 2015

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Nichole R. Moos, O.D. Inc

  • Optometrist
  • Sacramento, CA
  • NPI 1669030961
  NPD Authorized official
• Anacleto Gutierrez an Optometric Corporation

  • Optometrist
  • Sacramento, CA
  • NPI 1154827665
  NPD
• Anacleto Gutierrez

  • Optometrist
  • Sacramento, CA
  • NPI 1891826996
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1841674850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CAPITOL AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165904",
            "telephone_number": "916-447-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 12TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143901",
            "telephone_number": "916-442-4927",
            "fax_number": "916-442-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOS",
        "first_name": "NICHOLE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 15314 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Henry Moore, RADT
• Xzavia Moore
• Darcy Lynn Moorhead
• Richard Francis Moorhouse I, DDS
• Ashley C Mooring
• Stacey Ann Moote
• Manuela Moots
• Melanie Elizabeth Mopsick, LCSW
• Sirjan Mor
• Thelma Melissa Mora Zazueta, LMFT

• Optometrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.