Organization Active NPI

D.M.Moczek Optometrist LLC

  • Optometrist
  • West Chester, OH
National Provider Identifier
1881739142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4576 Issued in OH
Legal business name
D.M.MOCZEK OPTOMETRIST LLC
Practice address
7675 Voice of America Centre Drive
West Chester, OH 45039
Phone
(513) 777-4857
Fax
(513) 779-5870
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dawn M Moczek, O.D.NPI 1104961457
Title
Optometrist
Phone
(513) 777-4857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4576 OH Primary

Addresses

Primary practice location

7675 Voice of America Centre Drive
West Chester, OH 45039

Mailing address

7675 Voice of America Centre Drive
West Chester, OH 45039
Phone (513) 777-4857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160726000203 OH Part B Supplier - Clinic/Group Practice 6709179955 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, OH

National Provider Directory

National Provider Directory

Locations

7675 Voice of America Centre Dr
West Chester, OH 45069
Phone (513) 777-4857

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881739142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 VOICE OF AMERICA CENTRE DRIVE",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-777-4857",
            "fax_number": "513-779-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 VOICE OF AMERICA CENTRE DRIVE",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-777-4857",
            "fax_number": "513-779-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.M.MOCZEK OPTOMETRIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOCZEK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "513-777-4857",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.