Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edward John Moylan, OD

Individual provider Optometrist · NPI 1063588424

Dr. Edward John Moylan, OD is an Optometry in Port Jefferson Station, New York. Graduated from Pennsylvania College of Optometry in 1988, 38 years ago. Practices with Edward J Moylan OD PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Trained at
Pennsylvania College of Optometry
Licensed in
NY
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

537 Patchogue Rd
Port Jefferson Station, NY 11776
Phone: (631) 642-2020
Fax: (631) 642-3938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV004922-1 (NY)

Record details

NPI number1063588424
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 28, 2006
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1988 (38 years in practice)
Group practice Edward J Moylan Od Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Jefferson Station