Brian Moore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010353 Issued in IL

Practice address

200 E Mechanic St
Hillsboro, IL 62049-2007

Phone

(217) 532-3036

Fax

(217) 532-6623

NPI assigned

Jun 30, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Eye Center, LTDGroup PAC ID 6507779824, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.63 of 100Reported as group

Quality

90.15

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prairie Eye Center, LTD

  • Ophthalmology Physician
  • Springfield, IL
  • NPI 1447222864

  Optometrist

  Medicare reassignment Care Compare group NPD
• Prairie Eye Center LTD

  • Optometrist
  • Hillsboro, IL
  • NPI 1477783694
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1033420575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047015",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MECHANIC ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620492007",
            "telephone_number": "217-532-3036",
            "fax_number": "217-532-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger C McFarlin, M.D.
• John Mekala, PT
• Sharmila Mekala, OTR/L
• Amber Tennille Mifflin, C.A.D.C.
• Montgomery County Health Department
• Shannon Denise Moore, LPN
• Mark Moranville, M.A.
• Barbara A. Mulch, M.D.
• Robert F. Mulch Jr., M.D.
• Michelle Elizabeth Noe, B.S.

• Optometrist in Hillsboro, IL
• Providers in Hillsboro, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.