Individual provider Active NPI

Dorothy M Moore, M.D.

  • Ophthalmology Physician
  • Wilmington, DE
National Provider Identifier
1063419349
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C10002605 Issued in DE
Practice address
2055 Limestone Rd
Ste 102
Wilmington, DE 19808-5536
Phone
(302) 992-0430
Fax
(302) 992-0461
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X C10002605 DE
Ophthalmology Physician 207W00000X C10002605 DE Primary

Addresses

Primary practice location

2055 Limestone Rd
Ste 102
Wilmington, DE 19808-5536

Mailing address

2055 Limestone Rd
Ste 102
Wilmington, DE 19808-5536
Phone (302) 992-0430

Other identifiers 3

IdentifierTypeStateIssuer
0000973802MedicaidDE
0014791050006MedicaidPA
6265804MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000126 DE Practitioner - Ophthalmology 3072787126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Pennsylvania, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons, PAGroup PAC ID 4981780921, 11 clinicians

Practice addresses (Care Compare)

1207 N Scott St
Wilmington, DE 19806-4059
Phone (302) 652-3353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Eye Physicians & Surgeons, PA Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 1, 2000 Accepting new patients
Christiana Care Health Services Inc Ophthalmology CurrentSince Aug 1, 2000 Accepting new patients
Eye Physicians & Surgeons, PA Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients

Locations

314 E Main St
Ste 302
Newark, DE 19711
Phone (302) 292-2020

2006 Foulk Rd
Ste A
Wilmington, DE 19810
Phone (302) 475-1000

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1207 N Scott St
Wilmington, DE 19806
Phone (302) 428-9900

Interoperability endpoints

  • Direct secure messaging: dmooremd@eyephysicianssurgeons.direct.eyemdemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1063419349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "STE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-992-0430",
            "fax_number": "302-992-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 LIMESTONE RD",
            "address_2": "STE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085536",
            "telephone_number": "302-992-0430",
            "fax_number": "302-992-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DOROTHY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "DE",
            "license": "C10002605",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C10002605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000973802",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014791050006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6265804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.