Jan Solomon Moore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8910TPL Issued in CA

Practice address

14434 Hamlin St
Suite 1
Van Nuys, CA 91401-1461

Phone

(818) 785-4040

Fax

(818) 785-4608

NPI assigned

Nov 2, 2006

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 identifiers 1

Other names 1

• Dr. J. Solomon Moore Professional name

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

Southern California College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. J. Solomon Moore, OD and Associates, Inc.Group PAC ID 0143123646, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dr. J. Solomon Moore, OD & Associates, Inc.

  • Optometrist
  • Van Nuys, CA
  • NPI 1780721944
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1891874731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14434 HAMLIN ST",
            "address_2": "SUITE 1",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011461",
            "telephone_number": "818-785-4040",
            "fax_number": "818-785-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14434 HAMLIN ST",
            "address_2": "SUITE 1",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011461",
            "telephone_number": "818-785-4040",
            "fax_number": "818-785-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAN",
        "middle_name": "SOLOMON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8910TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0089100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "MOORE",
            "middle_name": "SOLOMON",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandy Montoya
• Melanie Jeniece Moody-Robinson
• Anne Moody
• Andrew Moon, RN
• Moonlight Hospice, Inc.
• Rahmyah Moore
• Rosalyn Mora Garcia
• Ernesto Mora Jr., A.S.
• Gustavo Mora
• Kimberly Mora

• Optometrist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.