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MOAMEN RIZK
NPI 1205473402
Optometrist in Montclair, CA

Active since December 06, 2019PECOS Enrolled
9067 SYCAMORE AVE UNIT 103, MONTCLAIR, CA 91763(414) 841-7777 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Moamen Rizk NPPES

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

MOAMEN RIZK (NPI 1205473402) is an individual optometrist in Montclair, California, licensed in California (34455TLG) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205473402
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMOAMEN RIZK
Location Address9067 SYCAMORE AVE UNIT 103Montclair, CA 91763-1557
Mailing Address9067 Sycamore Ave Unit 103Montclair, CA 91763-1557
Phone(414) 841-7777
Sole ProprietorYes
Enumeration DateDecember 6, 2019
✔ NPI 1205473402 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 CA · 34455TLG
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.
9067 SYCAMORE AVE UNIT 103, Montclair, CA 91763
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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 and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moamen Rizk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Moamen Rizk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Visionworks, Inc.
1,708 mi
Optometrist
239 GOLF MILL CTR, STE 255
Niles, IL 60714
  • Reassigned Medicare billing, Illinois enrollment
  • 108 clinicians in this Medicare group
NPI 1831115906 (847) 297-2286

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Moamen Rizk's NPI number?

The NPI number for Moamen Rizk is 1205473402. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Moamen Rizk located?

Moamen Rizk practices at 9067 Sycamore Ave Unit 103, Montclair, CA 91763. The listed phone number is (414) 841-7777.

What is Moamen Rizk's specialty?

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

Is Moamen Rizk enrolled in Medicare?

Yes. Moamen Rizk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Moamen Rizk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moamen Rizk reassigns Medicare benefits to Visionworks, Inc. (Niles, IL). The 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 Moamen Rizk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Moamen Rizk accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Moamen Rizk 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 Moamen Rizk was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.