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TREVOR MOX OD
NPI 1619031002
Optometrist in Roseville, MN

Active since December 20, 2006PECOS Enrolled
503 ROSEDALE SHOPPING CTR, ROSEVILLE, MN 55113(651) 631-8900(651) 631-1003 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Trevor Mox Od NPPES

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

TREVOR MOX OD (NPI 1619031002) is an individual optometrist in Roseville, Minnesota, licensed in Minnesota (3041) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619031002
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTREVOR MOXCredential: OD
Location Address503 ROSEDALE SHOPPING CTRRoseville, MN 55113-3004
Mailing Address11103 West Ave, Suite 6San Antonio, TX 78213-1370 · (210) 524-6663 · Fax (210) 524-6587
Phone(651) 631-8900
Fax(651) 631-1003
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1619031002 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 MN · 3041
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.
503 ROSEDALE SHOPPING CTR, Roseville, MN 55113
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Other Identifiers 1

Medicare UPINV07731MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trevor Mox Od 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 Trevor Mox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Visionworks, Inc.
92 mi
Optometrist
1301 18TH AVE NW
Austin, MN 55912
  • Reassigned Medicare billing, Minnesota enrollment
  • 76 clinicians in this Medicare group
NPI 1881962173 (507) 437-6443

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 55113 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

VISION WORLD INC
Eyewear Supplier
503 ROSEDALE SHOPPING CTR
ROSEVILLE, MN 55113
Ramsey County (651) 631-8900

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 Trevor Mox's NPI number?

The NPI number for Trevor Mox is 1619031002. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Trevor Mox located?

Trevor Mox practices at 503 Rosedale Shopping Ctr, Roseville, MN 55113. The listed phone number is (651) 631-8900.

What is Trevor Mox's specialty?

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

Is Trevor Mox enrolled in Medicare?

Yes. Trevor Mox is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Trevor Mox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trevor Mox reassigns Medicare benefits to Visionworks, Inc. (Austin, MN). 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 Trevor Mox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Trevor Mox accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Trevor Mox 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 Trevor Mox was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.