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MOON VALLEY EYECARE
NPI 1003221185
Optometrist in Phoenix, AZ

Active since June 26, 2014
14435 N 7TH ST, STE 104, PHOENIX, AZ 85022(602) 993-2727(602) 449-0681 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Moon Valley Eyecare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOON VALLEY EYECARE (NPI 1003221185) is a healthcare organization registered as an optometrist in Phoenix, Arizona and active in the NPI registry since June 2014. The organization lists Jesse Vincent Dominguez, President, as its authorized official.

NPPES Registry Identity

NPI1003221185
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNICOLEX LLC
Location Address14435 N 7TH ST, STE 104Phoenix, AZ 85022-4371
Mailing Address14435 N 7th St, Ste 104Phoenix, AZ 85022-4371 · (602) 993-2727 · Fax (602) 449-0681
Phone(602) 993-2727
Fax(602) 449-0681
Organization SubpartNo
Authorized OfficialJesse Vincent DominguezPresident · (623) 330-8723
Enumeration DateJune 26, 2014
Last NPPES UpdateMarch 13, 2015
✔ NPI 1003221185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · AZ1210
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
14435 N 7TH ST, Phoenix, AZ 85022
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Other Names 1

Doing Business AsMoon Valley Eyecare

Other Identifiers 2

Medicaid747561AZ
Medicare PINZ144738AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moon Valley Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Moon Valley Eyecare, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jesse Dominguez, O.D.
Optometry
NPI 1669789814
725 E. MAIN ST. SUITE 1C
Somerton, AZ 85350
(928) 627-4525
✔ PECOS✔ Accepts Medicare168 mi
Jacob Bromley, OD
Optometry
NPI 1992310312
725 E MAIN ST, APT #1C
Somerton, AZ 85350
(928) 627-4525
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicolex LLC's NPI number?

The NPI number for Nicolex LLC is 1003221185. It was assigned to this organization in the NPPES registry on June 26, 2014. The provider is doing business as Moon Valley Eyecare.

Where is Nicolex LLC located?

Nicolex LLC is located at 14435 N 7th St Ste 104, Phoenix, AZ 85022. The listed phone number is (602) 993-2727.

What is Nicolex LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicolex LLC enrolled in Medicare?

Yes. Nicolex LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicolex LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Nicolex LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nicolex LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Oscar Health Plan, Inc. list Nicolex LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicolex LLC was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.