Deborah Ann Moon, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

5262TG Issued in TX

Practice address

4012 Preston Rd
Suite 500
Plano, TX 75093-7368

Phone

(972) 985-3638

Fax

(972) 867-7062

NPI assigned

Nov 28, 2006

Sex

Female

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lakeside Vision & Optical P.C.

  • Corneal and Contact Management Optometrist
  • Plano, TX
  • NPI 1043400062
  Medicare reassignment NPD
• Mdphillipsod PLLC

  • Optometrist
  • Plano, TX
  • NPI 1720622905
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1902972177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 PRESTON RD",
            "address_2": "SUITE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937368",
            "telephone_number": "972-985-3638",
            "fax_number": "972-867-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PRESTON RD",
            "address_2": "SUITE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937368",
            "telephone_number": "972-985-3638",
            "fax_number": "972-867-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5262TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1043400062",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatum Marie Moog
• Grace Marie Mooken, M.D.
• Ronald Clifford Moomaw, D.O.
• Amna Munawar Soomro Moon, CCC-SLP
• Daniel Hyun Joon Moon, DDS
• John Moon III, M.D.
• Devin Mooney
• Jennifer Marie Mooney, CCC-SLP
• Ryan Patrick Mooney, M.D.
• Moonlight Healthcare Series LLC

• Corneal and Contact Management Optometrist in Plano, TX
• Providers in Plano, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.