Active NPI
Michael Moore
- Optician
- Winchester, VA
National Provider Identifier
1073706404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1101001190
- Practice address
- 216 W Boscawen St
Winchester, VA 22601-4118 - Phone
- (540) 667-2220
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 1101001190 | VA | Primary |
Addresses
Primary practice location
216 W Boscawen St
Winchester, VA 22601-4118
Mailing address
216 W Boscawen St
Winchester, VA 22601-4118
Phone (540) 667-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101001190 | VA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Optical Center Inc | Optician | Current | Accepting new patients |
| Shenandoah Optical Inc | Optician | Current | Accepting new patients |
| Shenandoah Optical Inc. | Current | Accepting new patients |
Locations
216 W Boscawen St
Winchester, VA 22601
Phone (540) 667-2220
Organizations & group practices 3
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.
-
- Eyewear Supplier
- Winchester, VA
- NPI 1861478083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1073706404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 W BOSCAWEN ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226014118",
"telephone_number": "540-667-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 W BOSCAWEN ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226014118",
"telephone_number": "540-667-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VA",
"license": "1101001190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.