MEDICARE: DR. URSULA MOONSAMY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10907T	CA

General Provider Information

NPI Number	:	1902969447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. URSULA MOONSAMY O.D.

Provider Business Mailing Address
First Line	:	3341 LAKESHORE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-2305
Country	:	US
Telephone Number	:	510-832-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	3341 LAKESHORE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-2305
Country	:	US
Telephone Number	:	510-832-3937
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	03/14/2012

Similar Medicare Providers

1548254824 — DR. DONALD BRUCE MCETCHIN DDS
Practice Location Address:

3309 LAKESHORE AVE
OAKLAND, CA
94610-2305

Practice Phone: 510-444-4331
Practice Fax: 510-444-4331

1053607713 — URSULA MOONSAMY
Practice Location Address:

3341 LAKESHORE AVE
OAKLAND, CA
94610-2305

Practice Phone: 510-832-3937
Practice Fax: 510-832-5166

1952737157 — DR. LANCE MICHAEL BRUNE DDS
Practice Location Address:

3309 LAKESHORE AVE
OAKLAND, CA
94610-2305

Practice Phone: 510-444-4331
Practice Fax:

1679050553 — PEI-YU TSAI OD
Practice Location Address:

3341 LAKESHORE AVE
OAKLAND, CA
94610-2305

Practice Phone: 510-832-3937
Practice Fax:

1023046695 — CLINTON AREA AMBULANCE SERVICE AUTHORITY
Practice Location Address:

1001 S OAKLAND ST
SAINT JOHNS, MI
48879-2305

Practice Phone: 517-227-5713
Practice Fax:

1275670895 — SSC OAKLAND FRUITVALE OPERATING COMPANY LP
Practice Location Address:

3020 E 15TH ST
OAKLAND, CA
94601-2305

Practice Phone: 510-261-5613
Practice Fax: 510-261-5940

Directions to “ DR. URSULA MOONSAMY O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.