Provider Type Icon

DR. BRODERICK DEVON MOSES O.D. NPI 1245342898


NPI Information

NPI: 1245342898
Provider Name: DR. BRODERICK DEVON MOSES, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
4500 VETERANS MEMORIAL BLVD.
TARGET OPTICAL
METAIRIE, LA
ZIP 70006
Phone: (504) 454-3791
Get Directions

DR. Broderick Devon Moses, O.D. is an optometrist in Metairie, LA. The provider is 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. DR. Broderick Devon Moses, O.D. NPI is 1245342898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4500 VETERANS MEMORIAL BLVD.
TARGET OPTICAL
METAIRIE, LA
ZIP 70006-330
Phone: (504) 454-3791
Fax: (504) 456-3058

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist6684TGTEXASNo
2152W00000XOptometrist1383-519TLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11245342898OTHERTEXASBLUE CROSS BLUE SHIELD OF TEXAS: INDIVIDUAL
21627348MEDICAIDLOUISIANA
382393QOTHERTEXASBLUE CROSS BLUE SHIELD OF TEXAS
41417146994OTHERTEXASBLUE CROSS BLUE SHIELD OF TEXAS: GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.