Thiago Assis Moulin, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME168188 Issued in FL

Practice address

499 NW 70TH Ave Ste 100
Plantation, FL 33317-7572

Phone

(954) 792-6411

Fax

(954) 792-7588

NPI assigned

Jun 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Thiago Moulin Ribeiro de Assis Other name

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

Specialty

Ophthalmology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Plantation IncGroup PAC ID 4082709316, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10550/brand/1/csg/1/fhir/r4

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.

• Eye Associates of Plantation Inc

  • Ophthalmology Physician
  • Plantation, FL
  • NPI 1942265368
  Medicare reassignment Care Compare group NPD
• The Eye Physicians of Pinellas, PA

  dba Lakeland Eye Clinic

  • Ophthalmology Physician
  • Largo, FL
  • NPI 1114925153
  Medicare reassignment NPD
• The Eye Physicians of Pinellas, PA

  dba Lakeland Eye Clinic

  • Durable Medical Equipment & Medical Supplies
  • Lakeland, FL
  • NPI 1790488013
  NPD
• The Eye Physicians of Pinellas, PA

  dba Largo Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Largo, FL
  • NPI 1366710741
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1861018541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177572",
            "telephone_number": "954-792-6411",
            "fax_number": "954-792-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177572",
            "telephone_number": "954-792-6411",
            "fax_number": "954-792-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULIN",
        "first_name": "THIAGO",
        "middle_name": "ASSIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME168188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THIAGO",
            "last_name": "MOULIN RIBEIRO DE ASSIS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Herbert I Moselle, MD
• Liliana Mosquera, DENTIST
• Jaime Elizabeth Moss, M.S. CCC-SLP
• Moterum Health Services Management LLC
• Elizabeth Fifer Motisi, M.ED., CCC-SLP
• Fernando Antonio Moya-Huff, M.D.
• Lina Maria Moyano, ED.D., L.C.S.W.
• MRJ Medical Inc (MRJ Services Inc)
• MRJ Medical Inc (MRJ Services Inc)
• MRJ Medical Inc (MRJ Services Inc)

• Ophthalmology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.