Gabrielle Judith Moore
Individual provider Active NPI Optometrist · Hiawatha, KS
NPI 1144162124 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1144162124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2279 (KS)
- Practice address
- 109 S 6TH St
Hiawatha, KS 66434-2306 - Phone
- (785) 742-3631
- NPI assigned
- Apr 8, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15933 Clayton Rd
Suite 210
Ballwin, MO 63011-2154
5225 NW 46TH St
Topeka, KS 66618-4402
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Specialists of Atchison, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2279 | KS | Yes |
Addresses
Primary practice location
109 S 6TH St
Hiawatha, KS 66434-2306
Mailing address
5225 NW 46TH St
Topeka, KS 66618-4402
Other practice location 1
4745 NW Hunters Ridge Cir Ste B
Topeka, KS 66618-2538
Phone (785) 246-3937
Other providers in Hiawatha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.