NPIMap

Organization Active NPI

Dr. Moore and Associates LLC

  • Optometrist
  • Bethel, CT
National Provider Identifier
1083960215
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. MOORE AND ASSOCIATES LLC
Practice address
7 Stony Hill Rd
Bethel, CT 06801-1030
Phone
(203) 794-0095
NPI assigned
Jul 25, 2012
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Binh Moore, ODNPI 1598882490
Title
Managing Member
Phone
(203) 794-0095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7 Stony Hill Rd
Bethel, CT 06801-1030

Mailing address

34 Heather Dr
Stamford, CT 06903-2122
Phone (203) 794-0095

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1083960215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HEATHER DR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069032122",
            "telephone_number": "203-794-0095",
            "fax_number": "203-797-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011030",
            "telephone_number": "203-794-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MOORE AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BINH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-794-0095",
        "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": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.