Tory W Moore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4305TG Issued in TX

Practice address

1301 E 1St St
Dumas, TX 79029-3567

Phone

(806) 935-2020

Fax

(806) 934-9908

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dumas Vision Source, PLLCGroup PAC ID 9032261037, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Dumas Vision Source, PLLC

  • Optometrist
  • Dumas, TX
  • NPI 1013156694
  Medicare reassignment Care Compare group NPD Authorized official
• Dumas Vision Source

  • Eyewear Supplier
  • Dumas, TX
  • NPI 1609035799
  NPD (past) Authorized official

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1336134980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293567",
            "telephone_number": "806-935-2020",
            "fax_number": "806-934-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293567",
            "telephone_number": "806-935-2020",
            "fax_number": "806-934-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TORY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "4305 T G",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4305TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019278301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019278302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Scott Mitchell, M.D.
• Moore County Hospital District
• Moore County Hospital District
• Moore County Pho LLC
• Moore County Physician Group
• Carol Nevarez
• Jaime Eduardo Olmos
• Opara PA
• Panhandle Vision Center - Dumas PC
• Priyanka Sanjeev Patel, MD

• Optometrist in Dumas, TX
• Providers in Dumas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.

Verify at the official NPI Registry.