Sherl Moore OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2490 Issued in OK

Legal business name

SHERL MOORE OD PLLC

Practice address

415 N Wilson St
Vinita, OK 74301-2432

Phone

(918) 256-5646

Fax

(918) 256-7727

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Sherl Moore, O. D. PLLCNPI 1598812075

Title

Optometrist

Phone

(918) 822-2248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherl Christine Moore, O.D.

  • Optometrist
  • Vinita, OK
  • NPI 1598812075
  Medicare reassignment Authorized official
• Joe D Cope, OD

  • Optometrist
  • Tahlequah, OK
  • NPI 1760488951
  NPD (past)
• Jack H Greiner, O.D

  • Optometrist
  • Vinita, OK
  • NPI 1811051535
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1275722738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012432",
            "telephone_number": "918-256-5646",
            "fax_number": "918-256-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012432",
            "telephone_number": "918-256-5646",
            "fax_number": "918-256-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERL MOORE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHERL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "918-822-2248",
        "authorized_official_credential": "O. D. PLLC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Anne Shaul, BHCM II
• Ladora Frances Shaw
• January Turquoise Sheffield, RDH
• James Andrew Shepherd, MSU U/S
• Kaylee Shepherd
• Michelle Shield
• Chelsi Rae Shockley
• Emily Shoemaker
• Betty F Showler, MAC
• Rachel Showler, B.A., B.H.R.S.

• Optometrist in Vinita, OK
• Providers in Vinita, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.