Moore Family Eyecare, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

T03463 Issued in MO

Legal business name

MOORE FAMILY EYECARE, LLC

Practice address

1902 West 19TH Street
Ste. a
Mountain Grove, MO 65711-1221

Phone

(417) 926-3937

Fax

(417) 926-3952

NPI assigned

Jun 4, 2010

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Loran Moore, O.D.NPI 1679574396

Title

Member

Phone

(417) 926-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Loran Moore, OD

  • Optometrist
  • Mountain Grove, MO
  • NPI 1679574396
  Medicare reassignment Care Compare group NPD Authorized official
• Jacob Pieper, OD

  • Optometrist
  • Springfield, MO
  • NPI 1801456199
  Medicare reassignment Care Compare group NPD
• Thomas G Prater, M.D.

  • Ophthalmology Physician
  • Springfield, MO
  • NPI 1043289119
  NPD (past)

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1053631770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WEST 19TH STREET",
            "address_2": "STE. A",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111221",
            "telephone_number": "417-926-3937",
            "fax_number": "417-926-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WEST 19TH STREET",
            "address_2": "STE. A",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111221",
            "telephone_number": "417-926-3937",
            "fax_number": "417-926-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "LORAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "417-926-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "T03463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317443505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Allison Means
• Menm, LLC (Miracle-Ear)
• Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine-Mountain Grove)
• Mercy St Francis Hospital (Mercy Clinic Family Medicine-Mountain Grove)
• Alexis Mills, PA-C
• Douglas Loran Moore, OD
• Jade Moore, APRN, FNP-C
• Mountain Grove 2 Inc (Autumn Oaks Caring Center)
• Mountain Grove Medical and Laser Center Inc
• Mountain Grove Medical and Laser Center Inc

• Health Service Clinic/Center in Mountain Grove, MO
• Providers in Mountain Grove, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.