Edward J Moylan OD PC
NPI 1043408958 · Optometrist · Port Jefferson Station, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward J Moylan OD PC is a Optometrist organization in Port Jefferson Station, NY (NPI 1043408958).
Provider details
- NPI number
- 1043408958
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Edward Moylan, Optometrist(631) 642-2020
- License
- TUV004922-1 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- North Shore Advanced Eye Care
- Doing business as
- North Shore Advanced Eye Care
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2022-03-12
- Certified
- 2022-03-12
Frequently asked questions
- What is Edward J Moylan OD PC's NPI number?
- Edward J Moylan OD PC's National Provider Identifier (NPI) is 1043408958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edward J Moylan OD PC?
- Edward J Moylan OD PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Edward J Moylan OD PC located?
- Edward J Moylan OD PC's practice location on file with NPPES is 537 Patchogue Rd, Port Jefferson Station, NY 11776-1006.
- What is Edward J Moylan OD PC's phone number?
- The practice phone number listed in the NPPES registry for Edward J Moylan OD PC is (631) 642-2020.
- Does Edward J Moylan OD PC accept Medicare?
- Edward J Moylan OD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Edward J Moylan OD PC?
- The authorized official listed on Edward J Moylan OD PC's NPPES record is Edward Moylan, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edward J Moylan OD PC's NPI active?
- Yes — Edward J Moylan OD PC's NPI (1043408958) is active in the NPPES registry as of the last update on 2022-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.