NPIMap

Organization Active NPI

W Hampton Moore OD PC

Doing business as Renaissance Eye Care

  • Optometrist
  • Florence, AL
National Provider Identifier
1235280298
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
W HAMPTON MOORE OD PC
Doing business as
Renaissance Eye Care
Practice address
1593 Darby Dr
Florence, AL 35630-2746
Phone
(256) 767-5522
Fax
(256) 767-6114
NPI assigned
Jan 16, 2007
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Dr. Warren Hampton Moore, ODNPI 1619946886
Title
Owner
Phone
(256) 767-5522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1593 Darby Dr
Florence, AL 35630-2746

Mailing address

1593 Darby Dr
Florence, AL 35630-2746
Phone (256) 767-5522

Other names 1

  • Renaissance Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051019000394 AL Part B Supplier - Clinic/Group Practice 8325064306 Receives reassigned benefits from 4 practitioners
Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

1593 Darby Dr
Florence, AL 35630
Phone (256) 767-5000

318 E Tennessee St
Florence, AL 35630
Phone (256) 767-5000

Practitioners & affiliated clinicians

Practitioners 5

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1235280298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 DARBY DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302746",
            "telephone_number": "256-767-5522",
            "fax_number": "256-767-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 DARBY DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302746",
            "telephone_number": "256-767-5522",
            "fax_number": "256-767-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W HAMPTON MOORE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "HAMPTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-767-5522",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Renaissance Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renaissance Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.