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Deactivated NPI 1932419249 Deactivated / Inactive NPI Male Practitioner

Dr. Ennis Edward Moss , MD

Ophthalmology • Lubbock, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ennis Moss has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2010
NPI Deactivation Date October 25, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Ennis Moss, MD was a registered Ophthalmology practicing in Lubbock, TX. Throughout an active medical career spanning 8 years, Dr. Moss provided care at the practice location at 5112 - 2ND STREET until profile deactivation on 2018-10-25.

Practice Location & Contact Primary Location

Practice Address

5112 - 2nd Street

Lubbock, TX 794163125

Telephone 8067993046

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
48 Specialists

Practicing in Lubbock, TX (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX B8917

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2018

Record deactivated on October 25, 2018

NPI Profile Active October 20, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 20, 2010

Registered at 5112 - 2ND STREET, LUBBOCK, TX 794163125 (Tel: 8067993046)

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Updated Business Mailing Address October 20, 2010

Registered at 5112 - 2ND STREET, LUBBOCK, TX 794163125 (Tel: 8067993046)

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Provider Name / Credentials Updated October 20, 2010

Recorded as ENNIS MOSS, M.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2010

Ophthalmology (License #B8917 in TX)

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Initial NPI Registration & Enumeration October 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932419249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2010
Last Update: October 20, 2010
Deactivation Date: October 25, 2018

Mailing Address

5112 - 2nd Street

Lubbock, TX 794163125

Phone: 8067993046

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.