Individual provider Active NPI

David Moore, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1083307243
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003923 Issued in CO
Practice address
3000 E 1St Ave Ste 2220
Denver, CO 80206-5640
Phone
(303) 321-8364
Fax
(888) 756-0320
NPI assigned
Jun 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003923 CO Primary

Addresses

Primary practice location

3000 E 1St Ave Ste 2220
Denver, CO 80206-5640

Mailing address

3000 E 1St Ave Ste 2220
Denver, CO 80206-5640
Phone (303) 321-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713003325 CO Practitioner - Optometry 5597125179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Range Family EyecareGroup PAC ID 8820090954, 9 clinicians

Practice addresses (Care Compare)

4920 S Yosemite St
Suite C5
Greenwood Village, CO 80111-1352
Phone (303) 220-5100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003923COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Family Eyecare Optometrist CurrentSince Jun 8, 2023 Accepting new patients

Locations

4920 S Yosemite St
Ste C5
Greenwood Village, CO 80111
Phone (303) 220-5100

4920 S Yosemite St
Greenwood Village, CO 80111

9045 Forsstrom Dr
Lone Tree, CO 80124
Phone (303) 858-8474

9045 Forsstrom Dr
Ste 100
Lone Tree, CO 80124
Phone (303) 858-8474

Organizations & group practices 1

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1083307243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E 1ST AVE STE 2220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065640",
            "telephone_number": "303-321-8364",
            "fax_number": "888-756-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E 1ST AVE STE 2220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065640",
            "telephone_number": "303-321-8364",
            "fax_number": "888-756-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.