Individual provider Active NPI

Elizabeth Moseley, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1902258734
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2132 Issued in AZ
Practice address
3788 S 16TH Ave
Tucson, AZ 85713-6079
Phone
(520) 388-9741
Fax
(520) 388-9750
NPI assigned
Jul 5, 2016
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2132 AZ Primary

Addresses

Primary practice location

3788 S 16TH Ave
Tucson, AZ 85713-6079

Mailing address

220 N McKemy Ave
Chandler, AZ 85226-2654
Phone (480) 961-1865

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160729000286 AZ Practitioner - Optometry 4688967516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

2040 E Rio Salado Pkwy
Suite 120
Tempe, AZ 85288-5185
Phone (480) 966-4992

2443 N Campbell Ave
Tucson, AZ 85719-3375
Phone (520) 903-6462

4663 E Speedway Blvd
Tucson, AZ 85712-4633
Phone (520) 322-0873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2132AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Jul 21, 2016 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Jul 21, 2016 Accepting new patients
Cve Arizona Optometry LLC Optometrist CurrentSince Nov 1, 2018 Accepting new patients

Locations

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

2443 N Campbell Ave
Tucson, AZ 85719
Phone (520) 877-7858

3788 S 16th Ave
Tucson, AZ 85713
Phone (520) 388-9741

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

6691 N Thornydale Rd
Tucson, AZ 85741
Phone (520) 395-2619

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

Interoperability endpoints

  • Direct secure messaging: dr.elizabeth.moseley@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1902258734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3788 S 16TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136079",
            "telephone_number": "520-388-9741",
            "fax_number": "520-388-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELEY",
        "first_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.