DR. TIMOTHY H MOON O.D.
NPI 1245383504
Optometrist in Honolulu, HI

Q: What is Timothy Moon's NPI number?

The NPI number for Timothy Moon is 1245383504. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is Timothy Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Moon was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment

1441 KAPIOLANI BLVD, SUITE 312, HONOLULU, HI 96814(808) 946-7700(808) 946-7710 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Timothy H Moon O.d. NPPES

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

DR. TIMOTHY H MOON O.D. (NPI 1245383504) is an individual optometrist in Honolulu, Hawaii, licensed in Hawaii (OD 450) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1996).

NPPES Registry Identity

NPI1245383504

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. TIMOTHY H MOONCredential: O.D.

Location Address1441 KAPIOLANI BLVD, SUITE 312Honolulu, HI 96814-4402

Mailing Address1441 Kapiolani Blvd, Suite 312Honolulu, HI 96814-4402 · (808) 946-7700 · Fax (808) 946-7710

Phone(808) 946-7700

Fax(808) 946-7710

Sole ProprietorYes

Medical School CMSSouthern California College Of OptometryGraduated 1996

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJune 2, 2026

NPPES CertifiedJune 2, 2026

✔ NPI 1245383504 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 HI · OD 450

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.

1441 KAPIOLANI BLVD, Honolulu, HI 96814

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Other Identifiers 4

Medicaid49451801HI

Other94-3274533HI · Federal Tax Id

OtherA20813-0HI · Hmsa Quest

OtherA20813-0HI · Hmsa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, HMSA, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy H Moon O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456510031

PECOS Enrollment IDI20120319000394

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

154 services21 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

98 services64 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

95 services63 patients

Imaging of front third of eye 92132

Imaging of the front third of the eye, also known as anterior segment imaging, captures detailed images of the eye's front part. This includes the iris, cornea, and lens. It's a non-invasive procedure that helps diagnose and monitor eye conditions.

58 services40 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

58 services40 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 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

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIICHIRO SATO, D.M.D., PH.D.

Preferred Provider Organization

1441 KAPIOLANI BLVD, SUITE 722
HONOLULU, HI 96814

Honolulu County (808) 943-9338

DR. CHRISTINA NHU NGUYEN D.M.D.

Dentist (General Practice)

1441 KAPIOLANI BLVD, 1016
HONOLULU, HI 96814

Honolulu County (808) 943-8888

DEAN T. SUEDA DDS.MS, INC

Dentist (Pediatric Dentistry)

1441 KAPIOLANI BLVD, SUITE 617
HONOLULU, HI 96814

Honolulu County (808) 944-1603

CHIE NISHIMURA APRN

Nurse Practitioner (Family)

1441 KAPIOLANI BLVD, SUITE 2000
HONOLULU, HI 96814

Honolulu County (808) 945-3719

DR. TODD EDWARDS GOODE DDS

Dentist (General Practice)

1441 KAPIOLANI BLVD, SUITE 1304
HONALULU, HI 96814

Honolulu County (808) 955-0004

HANDS-ON PHYSICAL THERAPY, INC.

Physical Therapist

1441 KAPIOLANI BLVD, SUITE 1113
HONOLULU, HI 96814

Honolulu County (808) 218-3660

ERNEST KH LEE MD LLC

Internal Medicine (Cardiovascular Disease)

1441 KAPIOLANI BLVD, SUITE 610
HONOLULU, FL 96814

Honolulu County (808) 955-5929

MR. MARLON CLUTARIO PARATO DMD

Dentist

1441 KAPIOLANI BLVD, #917
HONOLULU, HI 96814

Honolulu County (808) 942-5639

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 Timothy Moon's NPI number?

The NPI number for Timothy Moon is 1245383504. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Timothy Moon located?

Timothy Moon practices at 1441 Kapiolani Blvd Suite 312, Honolulu, HI 96814. The listed phone number is (808) 946-7700.

What is Timothy Moon's specialty?

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

Is Timothy Moon enrolled in Medicare?

Yes. Timothy Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Moon accept?

Health plans from BlueCross BlueShield of Tennessee, HMSA and Providence Health Plan list Timothy Moon 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 Timothy Moon was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.