Active NPI
Cari Lynn Moore, OD
- Optometrist
- Aiken, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2202
- Practice address
- 3521 Richland Ave
Aiken, SC 29801-6311 - Phone
- (803) 641-4646
- Fax
- (803) 641-4648
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10138T | CA | |
| Optometrist | 152W00000X | OPT003292 | GA | |
| Optometrist | 152W00000X | 2202 | SC | Primary |
Addresses
Primary practice location
3521 Richland Ave
Aiken, SC 29801-6311
Mailing address
217 E Lake Ave
Watsonville, CA 95076-4716
Phone (831) 724-3823
Other practice location 1
1055 Silver Bluff Rd Ste A
Aiken, SC 29803-5884
Phone (803) 642-4339
Other practice location 2
11H Robert Smalls Pkwy # H
Beaufort, SC 29906-4200
Phone (843) 524-8302
Other practice location 3
3152 Washington Rd
Augusta, GA 30907-3834
Phone (334) 520-2161
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5679634 | Medicaid | CA | |
| BO427A | Other | CA | PTAN |
| 2202 | Other | SC | SC STATE LICENSE |
Other names 1
- Dr. Cari Lynn Londal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- S and H Eye Care, LLC
Practice addresses (Care Compare)
3152 Washington Rd
Augusta, GA 30907-3834
Phone (706) 651-1291
3521 Richland Ave W
Aiken, SC 29801-6311
Phone (803) 641-4646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10138T | CA | MD | Optometrist |
| OPT003292 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krupa Tailor OD a Professional Corporation | Optometrist | Current | Accepting new patients |
| S & H Eye Care, LLC | Optometrist | Current | Accepting new patients |
| S & H Eye Care, LLC | Optometrist | Current | Accepting new patients |
| S & H Eye Care, LLC | Optometrist | Current | Accepting new patients |
| S & H Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Martinez Eye Associates LLC | Optometrist | Current | Accepting new patients |
| Foot Clinic of Santa Cruz County, Inc | Past | Accepting new patients |
Locations
217 E Lake Ave
Watsonville, CA 95076
Phone (408) 724-6410
3152 Washington Rd
Augusta, GA 30907
Phone (706) 651-1291
3412 Wrightsboro Rd
Ste 905
Augusta, GA 30909
Phone (706) 736-3937
1055 Silver Bluff Rd
Ste A
Aiken, SC 29803
Phone (803) 642-4339
3521 Richland Ave W
Aiken, SC 29801
Phone (803) 641-4646
11 Robert Smalls Pkwy
Ste H
Beaufort, SC 29906
Phone (843) 524-8302
Organizations & group practices 7
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
- Aiken, SC
- NPI 1528345691
-
- Optometrist
- Augusta, GA
- NPI 1457586976
-
- Optometrist
- Augusta, GA
- NPI 1447537519
-
- Optometrist
- Beaufort, SC
- NPI 1043574536
-
- Optometrist
- Aiken, SC
- NPI 1427333509
-
- Optometrist
- Watsonville, CA
- NPI 1568062248
-
- Foot & Ankle Surgery Podiatrist
- Capitola, CA
- NPI 1134621568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1265572085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E LAKE AVE",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950764716",
"telephone_number": "831-724-3823",
"fax_number": "831-724-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 RICHLAND AVE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016311",
"telephone_number": "803-641-4646",
"fax_number": "803-641-4648"
}
],
"practiceLocations": [
{
"address_1": "1055 Silver Bluff Rd Ste A",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298035884",
"country_code": "US",
"telephone_number": "803-642-4339",
"fax_number": "803-649-6799",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11H Robert Smalls Pkwy # H",
"address_purpose": "LOCATION",
"city": "Beaufort",
"state": "SC",
"postal_code": "299064200",
"country_code": "US",
"telephone_number": "843-524-8302",
"fax_number": "843-379-5974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3152 Washington Rd",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309073834",
"country_code": "US",
"telephone_number": "334-520-2161",
"fax_number": "706-210-8090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "CARI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10138T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003292",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5679634",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "BO427A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC STATE LICENSE",
"identifier": "2202",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARI",
"last_name": "LONDAL",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.