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DR. HOLLY ELIZABETH MOOSE OD, PHD
NPI 1992133219
Optometrist in Columbus, OH

Active since October 23, 2013PECOS EnrolledAccepts Medicare Assignment
2200 HENDERSON RD STE A, COLUMBUS, OH 43220(614) 273-2020(614) 273-4335 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Holly Elizabeth Moose Od, Phd NPPES

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

DR. HOLLY ELIZABETH MOOSE OD, PHD (NPI 1992133219) is an individual optometrist in Columbus, Ohio, licensed in Ohio (OPT.006221) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2014).

NPPES Registry Identity

NPI1992133219
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HOLLY ELIZABETH MOOSECredential: OD, PHD
Location Address2200 HENDERSON RD STE AColumbus, OH 43220-7327
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(614) 273-2020
Fax(614) 273-4335
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2014
Enumeration DateOctober 23, 2013
Last NPPES UpdateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
✔ NPI 1992133219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OH · OPT.006221✔ Licensed in OH · 6221
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.
2200 HENDERSON RD STE A, Columbus, OH 43220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter from Meridian and more.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. Holly Elizabeth Moose Od, Phd 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 ID9638391857
PECOS Enrollment IDI20241016002584
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43220 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

MYEYEDR OPTOMETRY OF OHIO, LLC
Optometrist
2200 HENDERSON RD STE A
COLUMBUS, OH 43220
Franklin County (614) 276-2020
NORTHWEST VISION CENTER, LLC
Optometrist
2200 HENDERSON RD STE A
COLUMBUS, OH 43220
Franklin County (614) 273-2020

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 Holly Moose's NPI number?

The NPI number for Holly Moose is 1992133219. It was assigned to this individual provider in the NPPES registry on October 23, 2013.

Where is Holly Moose located?

Holly Moose practices at 2200 Henderson Rd Ste A, Columbus, OH 43220. The listed phone number is (614) 273-2020.

What is Holly Moose's specialty?

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

Is Holly Moose enrolled in Medicare?

Yes. Holly Moose 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 Holly Moose accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of North Carolina and 14 other insurers list Holly Moose 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 Holly Moose was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.