DR. WILLIAM MOSCOW (O.D.) – Optometrist, NPI 1144390600

DR. WILLIAM MOSCOW (O.D.) is a healthcare provider. based in Roswell, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 861-T (GA). The NPI Number for DR. WILLIAM MOSCOW (O.D.) is 1144390600

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM MOSCOW (O.D.)
NPI
1144390600
Phone
(770) 992-7620
Address
1190 GRIMES BRIDGE RD
Enumeration Date
9 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7709927620
Graduation Year
1978 (48 years ago)
PAC ID
4082896063
Group Practice PAC ID
7214119114
Professional Enrollment ID
I20110311000689
Address ID
GA300753955RO1190XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for DR. WILLIAM MOSCOW (O.D.)

  • 1190, Grimes Bridge Road, Roswell, Fulton, Georgia, 30075, United States

    ROSWELL, GA 300753930

    Phone: (770) 992-7620

    Fax: (770) 992-8262

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,686.

Total Amount is formed as General ($1,686) + Research ($0) + Ownership ($0) = $1,686.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: CooperVision Inc. ($633).

Total Amount

$1,686

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,686

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110311000689IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2319$0
View full utilization report →

Insurance plans in this area (ZIP 30075)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214119114View full group profile
NameSpecialtyState
-GA
O P T O M E T R YGA
-MD
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

Is DR. WILLIAM MOSCOW (O.D.) listed with a National Provider Identifier?
Yes — DR. WILLIAM MOSCOW (O.D.) has NPI 1144390600 on file in the registry.
Is DR. WILLIAM MOSCOW (O.D.) still an active registrant?
DR. WILLIAM MOSCOW (O.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. WILLIAM MOSCOW (O.D.)?
DR. WILLIAM MOSCOW (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. WILLIAM MOSCOW (O.D.) located near Roswell?
DR. WILLIAM MOSCOW (O.D.) currently maps to Roswell, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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