Ross Moulder, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9789 Issued in TX

Practice address

3301 N Goliad St Ste 109
Rockwall, TX 75087-7194

Phone

(972) 430-9977

NPI assigned

Jun 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holly Fisher Britt, O.D., P.C.Group PAC ID 0345542031, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Holly Fisher Britt, O.D., P.C.

  • Optometrist
  • Rockwall, TX
  • NPI 1265725477
  Medicare reassignment Care Compare group NPD
• Tso Rockwall LLC

  • Optometrist
  • Rockwall, TX
  • NPI 1598249070
  Medicare reassignment
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  NPD
• Paul Britt DC PC

  • Chiropractor
  • Rockwall, TX
  • NPI 1932685401
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1992366348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N GOLIAD ST STE 109",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877194",
            "telephone_number": "972-430-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N GOLIAD ST STE 109",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877194",
            "telephone_number": "972-430-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULDER",
        "first_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9789",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.crystalpm.com/index.jsp?crystalpmid=5643",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3301 N Goliad St Ste 109",
            "city": "Rockwall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750877194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kailey Morales
• Elizabeth A Morgan, CCC-SLP
• Amr Sayed Morsy, MD
• Jerry Wayne Morton, RPH
• Leigh Anne Mota
• Victor Alonzo Moya, DPT
• Atupele Mshana, LPC - ASSOCIATE
• Charlette Rene Mueller, RN
• Jennifer Mullican, PA-C
• Endrit Mulliqi

• Optometrist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.

Verify at the official NPI Registry.