Organization Active NPI

Dr. Elliott Moscot Optometric Corporation

Doing business as Optometric Options

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1871877647
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6090T Issued in CA
Legal business name
DR. ELLIOTT MOSCOT OPTOMETRIC CORPORATION
Doing business as
Optometric Options
Practice address
11033 W Pico Blvd
Los Angeles, CA 90064-1930
Phone
(310) 477-1423
Fax
(310) 312-6985
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Elliott Moscot, O.D.NPI 1336265958
Title
President
Phone
(310) 477-1423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6090T CA Primary

Addresses

Primary practice location

11033 W Pico Blvd
Los Angeles, CA 90064-1930

Mailing address

11033 W Pico Blvd
Los Angeles, CA 90064-1930
Phone (310) 477-1423

Other names 1

  • Optometric Options Doing business as

National Provider Directory

National Provider Directory

Locations

11033 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 231-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1871877647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11033 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641930",
            "telephone_number": "310-477-1423",
            "fax_number": "310-312-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11033 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641930",
            "telephone_number": "310-477-1423",
            "fax_number": "310-312-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELLIOTT MOSCOT OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "MOSCOT",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-477-1423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6090T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometric Options",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.