Stephanie Quesada Moore OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STEPHANIE QUESADA MOORE OD PA

Practice address

2638 Jenks Ave
Panama City, FL 32405-4387

Phone

(850) 215-2020

NPI assigned

Apr 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Quesada Moore, ODNPI 1215385364

Title

Owner/Provider

Phone

(850) 215-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Stephanie Quesada Moore, OD

  • Optometrist
  • Panama City, FL
  • NPI 1215385364
  Medicare reassignment Care Compare group NPD Authorized official
• Kyra Jo Dorvall

  • Optometrist
  • Gainesville, FL
  • NPI 1275116980
  Medicare reassignment Care Compare group NPD
• Rebecca Lynn Kennedy, O.D.

  • Optometrist
  • Panama City, FL
  • NPI 1851369367
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1083277347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054387",
            "telephone_number": "850-215-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054387",
            "telephone_number": "850-215-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 W 23rd St",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054508",
            "country_code": "US",
            "telephone_number": "850-866-8472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHANIE QUESADA MOORE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2023-12-20",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "QUESADA MOORE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "850-215-2020",
        "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia M Stapleton, LMT
• Carrie Michelle Starner
• State of Florida, Doh, BCHD
• Shari Steele
• Stephanie Dutton Psy.D.,P.a.
• Stephen J Toner MD PA
• Jennifer Lynn Stephens, BSW
• Vickie W Stephens, ARNP
• Catharine H Stephenson, A.R.N.P.
• Steps to Serenity

• Optometrist in Panama City, FL
• Providers in Panama City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.