Moores Mill Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S931TA494 Issued in AL

Legal business name

MOORES MILL EYECARE PC

Practice address

2415 Moores Mill Rd
Suite 220
Auburn, AL 36830-8482

Phone

(334) 521-7944

Fax

(334) 521-7277

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

David Olive, O.D.NPI 1760576987

Title

President

Phone

(334) 521-7944

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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

• David Clyde Olive, O.D.

  • Optometrist
  • Auburn, AL
  • NPI 1760576987
  Medicare reassignment Care Compare group Authorized official
• Brenna Shea Reilly, OD

  • Optometrist
  • Auburn, AL
  • NPI 1649068214
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1083010888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MOORES MILL RD",
            "address_2": "SUITE 220",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308482",
            "telephone_number": "334-521-7944",
            "fax_number": "334-521-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MOORES MILL RD",
            "address_2": "SUITE 220",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308482",
            "telephone_number": "334-521-7944",
            "fax_number": "334-521-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORES MILL EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "OLIVE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-521-7944",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S931TA494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Chipman Moncrief, MCD CCC-CLP
• Kelly Monk, OTR/L
• Justin Moody
• Elizabeth Moore
• Simaya Moore, LMSW
• Moores Mill Family Practice
• Morningside of Alabama, L.P.
• Caleb Hogan Moses
• Susan Moses, R.P.T.
• Summer Jackson Mosley, PHARM.D.

• Optometrist in Auburn, AL
• Providers in Auburn, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.