Active NPI
Rebecca L Moser, OD
- Optometrist
- Elwood, IN
National Provider Identifier
1982774014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001778B
- Practice address
- 1900 S P St
Elwood, IN 46036-3333 - Phone
- (765) 552-7376
- Fax
- (765) 552-7377
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001778B | IN | Primary |
Addresses
Primary practice location
1900 S P St
Elwood, IN 46036-3333
Mailing address
1900 S P St
Elwood, IN 46036-3333
Phone (765) 552-7376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100170840A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928000809 | IN | Practitioner - Optometry | 4284750217 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001778B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moser & Moser Optometrists, Inc | Optometrist | Current | Accepting new patients |
| St. Vincent Hospice - Anderson LLC | Past | Accepting new patients |
Locations
1900 S P St
Elwood, IN 46036
Phone (765) 552-7376
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.
-
- Community Based Hospice Care Agency
- Kokomo, IN
- NPI 1841366200
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1977
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Moser and Moser Optometrists, Inc
Practice addresses (Care Compare)
1900 S P St
Elwood, IN 46036-3333
Phone (765) 552-7376
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1982774014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S P ST",
"city": "ELWOOD",
"state": "IN",
"postal_code": "460363333",
"telephone_number": "765-552-7376",
"fax_number": "765-552-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S P ST",
"city": "ELWOOD",
"state": "IN",
"postal_code": "460363333",
"telephone_number": "765-552-7376",
"fax_number": "765-552-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001778B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100170840A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.