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STEPHEN J MOFFETT OD A PROFESSIONAL
NPI 1669651980
Optometrist in Coronado, CA

Active since November 02, 2007
950 ORANGE AVE, CORONADO, CA 92118(619) 435-6221(619) 435-6289 Get Directions Write a Review

NPPES record last updated: November 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephen J Moffett Od A Professional NPPES

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

STEPHEN J MOFFETT OD A PROFESSIONAL (NPI 1669651980) is a healthcare organization registered as an optometrist in Coronado, California and active in the NPI registry since November 2007. The organization maintains a secondary practice location in Encinitas and lists Stephen J Moffett, President, as its authorized official.

NPPES Registry Identity

NPI1669651980
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSTEPHEN J MOFFETT OD A PROFESSIONAL
Location Address950 ORANGE AVECoronado, CA 92118-2610
Mailing Address950 Orange AveCoronado, CA 92118-2610 · (619) 435-6221 · Fax (619) 435-6289
Phone(619) 435-6221
Fax(619) 435-6289
Organization SubpartNo
Authorized OfficialStephen J MoffettPresident · (619) 435-6221
Enumeration DateNovember 2, 2007
Last NPPES UpdateNovember 3, 2024
NPPES CertifiedNovember 3, 2024
✔ NPI 1669651980 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 · 11550T
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.
950 ORANGE AVE, Coronado, CA 92118
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Secondary Practice Location 1

Location 1282 N El Camino RealEncinitas, CA 92024-2863 · Phone (760) 634-1957 · Fax (760) 634-1994

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 Montana, Blue Cross and Blue Shield of Oklahoma 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)

Stephen J Moffett Od A Professional is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stephen J Moffett Od A Professional, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Moffett, O.D. APC
Optometry
NPI 1467584102
950 ORANGE AVE
Coronado, CA 92118
(619) 435-6221
✔ PECOS✔ Accepts MedicareSame address

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 Stephen J Moffett Od A Professional's NPI number?

The NPI number for Stephen J Moffett Od A Professional is 1669651980. It was assigned to this organization in the NPPES registry on November 2, 2007.

Where is Stephen J Moffett Od A Professional located?

Stephen J Moffett Od A Professional is located at 950 Orange Ave, Coronado, CA 92118. The listed phone number is (619) 435-6221.

What is Stephen J Moffett Od A Professional's specialty?

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

Is Stephen J Moffett Od A Professional enrolled in Medicare?

Yes. Stephen J Moffett Od A Professional is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephen J Moffett Od A Professional?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Stephen J Moffett Od A Professional. 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 Stephen J Moffett Od A Professional 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 Stephen J Moffett Od A Professional 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 Stephen J Moffett Od A Professional was last updated on November 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.