Active NPI
Jessica Dyan Moore, O.D.
- Optometrist
- Sutton, NE
National Provider Identifier
1043207194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1183
- Practice address
- 210 N Saunders Ave
Sutton, NE 68979-2511 - Phone
- (402) 366-6966
- NPI assigned
- Oct 4, 2005
- Last updated
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1183 | NE | Primary |
Addresses
Primary practice location
210 N Saunders Ave
Sutton, NE 68979-2511
Mailing address
PO Box 75
Sutton, NE 68979-0075
Phone (402) 366-6966
Other names 1
- Jessica Dyan Damrow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
103 N Saunders Ave
Sutton, NE 68979-2506
Phone (402) 773-5616
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy a Dob, OD, PC | Optometrist | Past | Accepting new patients |
| Iiii, PC | Optometrist | Past | Accepting new patients |
| Nancy a Dob, OD,PC | Optometrist | Past | Accepting new patients |
| Nancy a Dob, OD, PC | Optometrist | Past | Accepting new patients |
| Andrea N Steele-Baumann OD LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Sutton, NE
- NPI 1588950869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1043207194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75",
"city": "SUTTON",
"state": "NE",
"postal_code": "689790075",
"telephone_number": "402-366-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N SAUNDERS AVE",
"city": "SUTTON",
"state": "NE",
"postal_code": "689792511",
"telephone_number": "402-366-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JESSICA",
"middle_name": "DYAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "DAMROW",
"middle_name": "DYAN",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sutton, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.