Carmen Perez Moreno, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14441 Issued in CA

Practice address

1125 Galleria Blvd
Roseville, CA 95678-1935

Phone

(916) 772-8804

NPI assigned

Jun 27, 2012

Last updated

Sep 4, 2012By 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 CA

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

Nova Southeastern Univ College of Dental Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.69 of 100Reported as group

Quality

60.05

Promoting interoperability

100

Improvement activities

40

Cost

72.24

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• Griffin & Reed a Medical Corporation

  • Corneal and Contact Management Optometrist
  • Sacramento, CA
  • NPI 1487707667
  Medicare reassignment NPD
• Healthy Eyes Optometry Inc

  • Optometrist
  • Folsom, CA
  • NPI 1316135759
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Redwood City, CA
  • NPI 1639252604
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Usv Optical Inc.

  • Eyewear Supplier
  • Roseville, CA
  • NPI 1235140450
  NPD (past)
• Usv Optical Inc

  dba Specs for Less

  • Eyewear Supplier
  • Blackwood, NJ
  • NPI 1578891008

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1861756454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 MILFORD ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224622",
            "telephone_number": "916-772-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 GALLERIA BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781935",
            "telephone_number": "916-772-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CARMEN",
        "middle_name": "PEREZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jasmin Morales, LCSW
• Shawn Theresa Moreland
• Ixel Fernando Morell, M.P.H
• Amanda Morelli, ND
• Patricia Ann Moreno Guadamuz, LMFT
• Christina Ann Moreno, SUDCCII 9479
• Jessica M. Moreno, M.S. I.M.F.
• Morgan Creek Villa Inc
• Marlon Morgan, L.P.C.C.
• Michele Rose Morgan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.