Individual provider Active NPI

Howard Moore, O.D.

  • Optometrist
  • Sevierville, TN
National Provider Identifier
1225195589
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD1635 Issued in TN
Practice address
1133 Fox Meadows Blvd
Sevierville, TN 37862-6923
Phone
(865) 453-8444
NPI assigned
Jan 3, 2007
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD1635 TN Primary

Addresses

Primary practice location

1133 Fox Meadows Blvd
Sevierville, TN 37862-6923

Mailing address

1133 Fox Meadows Blvd
Sevierville, TN 37862-6923
Phone (865) 453-8444

Other identifiers 1

IdentifierTypeStateIssuer
3713646MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110712000761 TN Practitioner - Optometry 4789608886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1133 Fox Meadows Blvd
Sevierville, TN 37862-6923
Phone (865) 453-8444

Merit-based Incentive Payment System (MIPS)

Final score
91.56 of 100Reported as individual
Quality
83.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD1635TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Creek Eye Center Inc Optometrist CurrentSince Dec 5, 2005 Accepting new patients
Knoxville Eye Center LLC Past Accepting new patients

Locations

1133 Fox Meadows Blvd
Sevierville, TN 37862
Phone (865) 453-8444

Interoperability endpoints

  • Direct secure messaging: drmoore@direct.revolutionehr.com

Organizations & group practices 2

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1225195589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 FOX MEADOWS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626923",
            "telephone_number": "865-453-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 FOX MEADOWS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626923",
            "telephone_number": "865-453-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HOWARD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3713646",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.