Shondra Moore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1579-612T Issued in LA

Practice address

2001 Millerville Rd
Baton Rouge, LA 70816-1408

Phone

(225) 372-6170

Fax

(504) 486-8985

NPI assigned

Sep 16, 2009

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eyewear Society, Inc

  • Optometrist
  • Covington, LA
  • NPI 1477897874
  Medicare reassignment NPD
• Jason Wonch, O.D. and Associates, a.P.C.

  dba Visionworks

  • Optometrist
  • Lake Charles, LA
  • NPI 1295769008
  Medicare reassignment NPD
• Eyeconic View Eyecare LLC

  • Optometrist
  • Baton Rouge, LA
  • NPI 1023685435
  NPD Authorized official
• Jason Wonch OD and Associates Apc

  dba EyeMasters

  • Eyewear Supplier
  • Shreveport, LA
  • NPI 1699050849
  NPD

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1275866683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 CRESTHAVEN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100464",
            "telephone_number": "615-828-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MILLERVILLE RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161408",
            "telephone_number": "225-372-6170",
            "fax_number": "504-486-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHONDRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1579-612T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Clifton Moore, MD
• Ronald Edwin Moore, R.PH.
• Ruth Riley Moore
• Samantha Moore
• Shauntae Moore, LPC, NCC
• Stanley Moore Jr.
• Tashica Moore
• Timothy Moore
• William H Moore, MD
• Christian Moots, FNP

• Optometrist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.