Active NPI
Chelsey Moore, OD
- Optometrist
- Springfield, IL
National Provider Identifier
1235440777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010337
- Practice address
- 2020 W Iles Ave
Springfield, IL 62704-7015 - Phone
- (217) 698-3030
- Fax
- (217) 698-3068
- NPI assigned
- Jun 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010337 | IL | Primary |
Addresses
Primary practice location
2020 W Iles Ave
Springfield, IL 62704-7015
Mailing address
2020 W Iles Ave
Springfield, IL 62704-7015
Phone (217) 698-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00860347 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 W Iles Ave
Springfield, IL 62704-4174
Phone (217) 698-3030
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.63 of 100
- Quality
- 90.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Eye Center, LTD | Optometrist | Current | Accepting new patients |
| Prairie Eye Center LTD | Optometrist | Past | Accepting new patients |
Locations
200 E Mechanic St
Hillsboro, IL 62049
Phone (217) 532-3036
2000 W Morton Ave
Jacksonville, IL 62650
Phone (217) 245-6814
2020 W Iles Ave
Springfield, IL 62704
Phone (217) 698-3030
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 and National Provider Directory roles.
-
- Optometrist
- Hillsboro, IL
- NPI 1477783694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1235440777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W ILES AVE",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627047015",
"telephone_number": "217-698-3030",
"fax_number": "217-698-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W ILES AVE",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627047015",
"telephone_number": "217-698-3030",
"fax_number": "217-698-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHELSEY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00860347",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.