1. Home
  2. Directory
  3. California
  4. Oakland
  5. Optometrist
  6. NPI Profile

DR. URSULA MOONSAMY O.D.
NPI 1902969447
Optometrist in Oakland, CA

Active since December 18, 2006PECOS Enrolled
3341 LAKESHORE AVE, OAKLAND, CA 94610(510) 832-3937 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ursula Moonsamy O.d. NPPES

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

DR. URSULA MOONSAMY O.D. (NPI 1902969447) is an individual optometrist in Oakland, California, licensed in California (10907T) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902969447
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. URSULA MOONSAMYCredential: O.D.
Location Address3341 LAKESHORE AVEOakland, CA 94610-2305
Mailing Address3341 Lakeshore AveOakland, CA 94610-2305 · (510) 832-3937
Phone(510) 832-3937
Sole ProprietorYes
Enumeration DateDecember 18, 2006
Last NPPES UpdateMarch 14, 2012
✔ NPI 1902969447 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 · 10907T
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.
3341 LAKESHORE AVE, Oakland, CA 94610
Open in Google Maps ↗

Other Identifiers 1

Medicare PINFH849ZCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ursula Moonsamy O.d. 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 Ursula Moonsamy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ursula Moonsamy
Same address
Optometrist
3341 LAKESHORE AVE
Oakland, CA 94610
  • Reassigned Medicare billing, California enrollment
NPI 1053607713 (510) 832-3937

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 94610 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 2

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

URSULA MOONSAMY
Optometrist
3341 LAKESHORE AVE
OAKLAND, CA 94610
Alameda County (510) 832-3937
PEI-YU TSAI OD
Optometrist
3341 LAKESHORE AVE
OAKLAND, CA 94610
Alameda County (510) 832-3937

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 Ursula Moonsamy's NPI number?

The NPI number for Ursula Moonsamy is 1902969447. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Ursula Moonsamy located?

Ursula Moonsamy practices at 3341 Lakeshore Ave, Oakland, CA 94610. The listed phone number is (510) 832-3937.

What is Ursula Moonsamy's specialty?

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

Is Ursula Moonsamy enrolled in Medicare?

Yes. Ursula Moonsamy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ursula Moonsamy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ursula Moonsamy reassigns Medicare benefits to Ursula Moonsamy (Oakland, CA). 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 Ursula Moonsamy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ursula Moonsamy accept?

Health plans from Providence Health Plan list Ursula Moonsamy 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 Ursula Moonsamy was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.