NORTH SHORE ADVANCED EYE CARE
NPI 1043408958
Optometrist in Port Jefferson Station, NY
About North Shore Advanced Eye Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SHORE ADVANCED EYE CARE (NPI 1043408958) is a healthcare organization registered as an optometrist in Port Jefferson Station, New York and active in the NPI registry since October 2007. The organization lists Edward J Moylan, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Shore Advanced Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to North Shore Advanced Eye Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Port Jefferson Station, NY 11776
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 Edward J Moylan Od PC's NPI number?
The NPI number for Edward J Moylan Od PC is 1043408958. It was assigned to this organization in the NPPES registry on October 5, 2007. The provider is doing business as North Shore Advanced Eye Care.
Where is Edward J Moylan Od PC located?
Edward J Moylan Od PC is located at 537 Patchogue Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 642-2020.
What is Edward J Moylan Od PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Edward J Moylan Od PC enrolled in Medicare?
Yes. Edward J Moylan Od PC is registered in the Medicare PECOS enrollment system.
When is Edward J Moylan Od PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Edward J Moylan Od PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Edward J Moylan Od PC. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Edward J Moylan Od PC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Edward J Moylan Od PC 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 Edward J Moylan Od PC was last updated on March 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# North Shore Advanced Eye Care · NPI 1043408958
Optometrist organization in Port Jefferson Station, New York. Organization record, active in the CMS NPPES registry since October 5, 2007.
## Identity
- **NPI:** 1043408958 (Entity type: Organization)
- **Enumerated:** October 5, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Edward J Moylan Od Pc
- **Organization subpart:** No
- **Authorized official:** Edward Moylan, OPTOMETRIST
## Practice location
- **Address:** 537 PATCHOGUE RD, Port Jefferson Station, NY 11776-1006
- **Phone:** (631) 642-2020 · **Fax:** (631) 642-3938
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1043408958) · Data from the CMS NPPES public registry.