Kelly Moser, O.D.
Individual provider Active NPI Optometrist · Athens, OH
NPI 1962632737 · NPPES record last updated Jul 15, 2009
Key facts
- NPI
- 1962632737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 5884 (OH)
- Practice address
- 199 Columbus Rd
Athens, OH 45701-1315 - Phone
- (740) 593-3191
- Fax
- (740) 594-2525
- NPI assigned
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Athens Eye Professionals LLC
Practice addresses (Care Compare)
199 Columbus Rd
Athens, OH 45701-1315
Phone (740) 593-3191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091201000565 | OH | Practitioner - Optometry | 1951440163 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5884 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Eye Professionals LLC | Optometrist | Current |
Accepting new patients |
| Arnold P. Lagraff & Kathy Biddinger LLC | Optometrist | Current |
Accepting new patients |
Locations
199 Columbus Rd
Athens, OH 45701
Phone (740) 593-3191
72 W Washington St
Nelsonville, OH 45764
Phone (740) 753-1967
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5884 | OH | Yes |
Addresses
Primary practice location
199 Columbus Rd
Athens, OH 45701-1315
Mailing address
PO Box 668
Athens, OH 45701-0668
Phone (740) 593-3191
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.