NPIMap

Organization Active NPI

W.Hampton Moore OD PC

  • Eyewear Supplier
  • Florence, AL
National Provider Identifier
1063004752
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
W.HAMPTON MOORE OD PC
Practice address
1593 Darby Dr
Florence, AL 35630-2746
Phone
(256) 767-5522
Fax
(256) 767-6114
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Dr. Warren Hampton Moore, ODNPI 1619946886
Title
Owner
Phone
(256) 767-5522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1593 Darby Dr
Florence, AL 35630-2746

Mailing address

1593 Darby Dr
Florence, AL 35630-2746
Phone (256) 767-5522

Other identifiers 1

IdentifierTypeStateIssuer
300014794MedicaidAL

Other names 1

  • Renaissance Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

1593 Darby Dr
Florence, AL 35630
Phone (256) 767-5000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1063004752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 DARBY DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302746",
            "telephone_number": "256-767-5522",
            "fax_number": "256-767-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 DARBY DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302746",
            "telephone_number": "256-767-5522",
            "fax_number": "256-767-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.HAMPTON MOORE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "HAMPTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-767-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300014794",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renaissance Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.