Individual provider Active NPI

Rebecca Erin Moser, O.D.

  • Optometrist
  • Fayetteville, AR
National Provider Identifier
1942224324
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2695 Issued in AR
Practice address
3318 N. North Hills Blvd
McDonald Eye Services P.a
Fayetteville, AR 72703
Phone
(479) 521-2555
Fax
(479) 521-6761
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6904T TX
Optometrist 152W00000X 2695 AR Primary
Optometrist 152W00000X 1531-661T LA

Addresses

Primary practice location

3318 N. North Hills Blvd
McDonald Eye Services P.a
Fayetteville, AR 72703

Mailing address

2783 N Shiloh Dr
Fayetteville, AR 72704-6983
Phone (479) 442-8865

Other identifiers 3

IdentifierTypeStateIssuer
182427801MedicaidTX
2317423MedicaidLA
V10248OtherUPIN

Other names 1

  • Dr. Rebecca Erin Hutson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20141230002452 AR Practitioner - Optometry 3274530639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sabre Ayers Wright OD PLLCGroup PAC ID 9931478674, 3 clinicians

Practice addresses (Care Compare)

825 N Main St
Suite 6
Harrison, AR 72601-2939
Phone (870) 741-2787

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1531-661TLAMDOptometrist
6904TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sabre Ayers Wright, OD PLLC Optometrist CurrentSince Dec 9, 2024 Accepting new patients
Sabre Ayers Wright, OD PLLC Optometrist CurrentSince Dec 9, 2024 Accepting new patients
Mann Eye Center Optometrist Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

825 N Main St
Harrison, AR 72601
Phone (870) 204-6555

825 N Main St
Ste 6
Harrison, AR 72601
Phone (870) 508-5907

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1942224324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 N SHILOH DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046983",
            "telephone_number": "479-442-8865",
            "fax_number": "479-442-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 N. NORTH HILLS BLVD",
            "address_2": "MCDONALD EYE SERVICES P.A",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-521-2555",
            "fax_number": "479-521-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "REBECCA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6904T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2695",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1531-661T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182427801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2317423",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "V10248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "HUTSON",
            "middle_name": "ERIN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.