Leticia Mota

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

1940 Campbell St
Detroit, MI 48209-2125

Phone

(313) 551-0707

Fax

(313) 551-0708

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• El Valle Optical, Inc.

  • Optometrist
  • Detroit, MI
  • NPI 1316501471
  NPD Authorized official
• El Valle Optical, LLC

  • Optometrist
  • Detroit, MI
  • NPI 1457914335
  NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1902992126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 CAMPBELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092125",
            "telephone_number": "313-551-0707",
            "fax_number": "313-551-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 CAMPBELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092125",
            "telephone_number": "313-551-0707",
            "fax_number": "313-551-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTA",
        "first_name": "LETICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4916160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taleshia Moss
• Taylor Moss
• Feras Mossa-Basha
• Sara Mossa-Basha, PHARMD
• Usamah Mossallam, MD
• Rose Renee Moten, PHD, LP
• Mother of Faith Home Help Care
• Mother of Four Helping Hands LLC
• Motivational Family & Friends Circle
• Wilda Motley-Penn, MA, LLPC

• Optician in Detroit, MI
• Providers in Detroit, MI by specialty
• Optician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.