Dr Binh Moore and Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR BINH MOORE AND ASSOCIATES LLC

Practice address

425 Union St
Waterbury, CT 06706-1245

Phone

(203) 757-7120

NPI assigned

Jan 22, 2014

Last updated

Jan 22, 2014By 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

Binh T Moore, ODNPI 1598882490

Title

Owner

Phone

(203) 757-7120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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.

• Binh T Moore, OD

  • Optometrist
  • Bethel, CT
  • NPI 1598882490
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1053734335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HEATHER DR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069032122",
            "telephone_number": "203-324-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 UNION ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061245",
            "telephone_number": "203-757-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BINH MOORE AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BINH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-757-7120",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.