Individual provider Active NPI

Annie Moreau, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1871686758
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
25055 Issued in OK
Practice address
608 Stanton L Young Blvd
Suite B332
Oklahoma City, OK 73104-5014
Phone
(405) 271-1096
Fax
(405) 271-6319
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 25055 OK Primary
Ophthalmology Physician 207W00000X 25055 OK

Addresses

Primary practice location

608 Stanton L Young Blvd
Suite B332
Oklahoma City, OK 73104-5014

Mailing address

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone (405) 271-6060

Other identifiers 1

IdentifierTypeStateIssuer
200162200AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amoreau@directdmei.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20120926000363 OK Practitioner - Ophthalmology 4183873755 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean McGee Eye InstituteGroup PAC ID 3779495353, 41 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone (405) 271-6060

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
73.92
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dean McGee Eye Institute CurrentSince Jan 21, 2019 Accepting new patients
Dean McGee Eye Institute Ophthalmology CurrentSince Jan 21, 2019 Accepting new patients
University of Oklahoma Heal Sci Ctr College of Medicine Ophthalmology Ophthalmology CurrentSince Oct 15, 2012 Accepting new patients
Ou Health Partners, Inc CurrentSince Dec 8, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Dec 8, 2025 Accepting new patients

Locations

608 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-6060

608 Stanton L Young Blvd
Ste B332
Oklahoma City, OK 73104
Phone (405) 271-1096

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • Direct secure messaging: annie.moreau.1@17619.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1871686758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045014",
            "telephone_number": "405-271-6060",
            "fax_number": "405-271-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "address_2": "SUITE B332",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045014",
            "telephone_number": "405-271-1096",
            "fax_number": "405-271-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "ANNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "25055",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "25055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200162200A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoreau@directdmei.org",
            "affiliation": "N",
            "address_1": "608 Stanton L Young Blvd",
            "address_2": "Suite B332",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731045014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.