Individual provider Active NPI

James H Moser, O.D.

  • Optometrist
  • Texarkana, TX
National Provider Identifier
1972502763
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03509TG Issued in TX
Practice address
4401 Galleria Oaks Dr
Texarkana, TX 75503-4675
Phone
(903) 838-9063
Fax
(903) 838-9074
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 03509TG TX Primary

Addresses

Primary practice location

4401 Galleria Oaks Dr
Texarkana, TX 75503-4675

Mailing address

PO Box 5908
Texarkana, TX 75505-5908
Phone (903) 838-9063

Other identifiers 3

IdentifierTypeStateIssuer
121658206MedicaidTX
113377722MedicaidAR
1285681304OtherTXGROUP NPI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060822000210 TX Practitioner - Optometry 3274536875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texarkana Eye Care Center LLPGroup PAC ID 9830192434, 2 clinicians

Practice addresses (Care Compare)

4401 Galleria Oaks Dr
Texarkana, TX 75503-4675
Phone (903) 838-9063

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03509TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Texarkana Eye Care Center LLP Optometrist CurrentSince Aug 8, 2021 Accepting new patients

Locations

4401 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 838-9063

Interoperability endpoints

  • Direct secure messaging: dsmith@visionsourceoftexarkana.eyefinitydirect.com

Organizations & group practices 2

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1972502763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5908",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755055908",
            "telephone_number": "903-838-9063",
            "fax_number": "903-838-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034675",
            "telephone_number": "903-838-9063",
            "fax_number": "903-838-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03509TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121658206",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113377722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1285681304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.