Dr. Mark A Moen, OD
Dr. Mark A Moen is a Corneal and Contact Management Optometrist provider (Optometrist) practicing in Devils Lake, ND, registered in the NPPES registry with NPI 1124124623 since 2006. The credential OD stands for Doctor of Optometry. Practices at Drs Moen Enderle and Krein PC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124124623 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mark A Moen |
| Credential | OD |
| Sex | Male |
| Practice address | 404 HWY 2 EAST, Devils Lake, ND, 58301 |
| Phone | 7016624085 |
| Fax | 7016626685 |
| Enumeration date | 2006-09-15 |
| Last updated in NPPES | 2008-05-15 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152WC0802X | Corneal and Contact Management Optometrist | Primary | 441 | ND |
OD — Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 450433379000 | Other | ND | WORKERS SAFETY AND COMP |
| 800441 | Other | ND | ND VISION SERVICES |
| 8844 | Other | ND | BS OF NORTH DAKOTA |
| CI2649 | Other | ND | PALMETTO GBA - RAILROAD MEDICARE |
| 0311120001 | Other | ND | CIGNA MEDICARE SERVICE |
| 60342 | Medicaid | ND | — |
Copy-ready billing details
Provider: Mark Moen, OD NPI: 1124124623 Taxonomy: 152WC0802X (Corneal and Contact Management Optometrist) Address: 404 HWY 2 EAST, Devils Lake, ND, 58301
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1659477206 | Kyle Krein | Individual | Corneal and Contact Management Optometrist | Devils Lake, ND |
| 1265539639 | Drs Moen Enderle and Krein PC | Organization | Optometrist | Devils Lake, ND |
| 1275726887 | Carey Enderle | Individual | Optometrist | Devils Lake, ND |
| 1720632094 | Kaylin Johnston | Individual | Optometrist | Devils Lake, ND |
Verify this record
Cross-check NPI 1124124623 against the authoritative CMS record: view Dr. Mark A Moen on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-15.