Individual provider Active NPI

Doan Thuc Minh Moore, D.O.

  • Optometrist
  • Burnsville, NC
National Provider Identifier
1144870635
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2580 Issued in NC
Practice address
419 E Main St
Burnsville, NC 28714
Phone
(828) 682-2104
NPI assigned
Sep 17, 2019
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 2580 NC Primary

Addresses

Primary practice location

419 E Main St
Burnsville, NC 28714

Mailing address

3026 Abbotsford Drive
Fort Mill, SC 29715
Phone (803) 389-8012

Other names 1

  • Doan Thuc Minh Bui Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191226001977 NC Practitioner - Optometry 1850725995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aldridge Eye Institute, OD, PAGroup PAC ID 1456393537, 2 clinicians

Practice addresses (Care Compare)

419 E Main St
Burnsville, NC 28714-3050
Phone (828) 682-2104

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
60.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2580NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aldridge Eye Institute, OD, PA Optometrist CurrentSince Sep 25, 2019 Accepting new patients

Locations

419 E Main St
Burnsville, NC 28714
Phone (828) 678-9100

Interoperability endpoints

  • Direct secure messaging: thucmoore@aldridgeeye.eyefinity-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1144870635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 ABBOTSFORD DRIVE",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29715",
            "telephone_number": "803-389-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E MAIN ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "28714",
            "telephone_number": "828-682-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DOAN THUC",
        "middle_name": "MINH",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOAN THUC",
            "last_name": "BUI",
            "middle_name": "MINH",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burnsville, NC

Sources for this page

Verify at the official NPI Registry.