Individual provider Active NPI

Alison Moore, OD

  • Optometrist
  • Memphis, TN
National Provider Identifier
1427668136
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0000003601 Issued in TN
Practice address
6465 N Quail Hollow Rd Ste 100
Memphis, TN 38120-1448
Phone
(901) 683-7255
Fax
(901) 683-3523
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1042 MS
Optometrist 152W00000X 0000003601 TN Primary

Addresses

Primary practice location

6465 N Quail Hollow Rd Ste 100
Memphis, TN 38120-1448

Mailing address

1984 Gallina Cir
Collierville, TN 38017-0800
Phone (901) 651-8461

Other practice location 1

5847 Poplar Ave Ste 105
Memphis, TN 38119-3949
Phone (901) 498-6284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210719003218 TN Practitioner - Optometry 6305249046 Reassigns benefits to 1 organization
I20260603001120 WI Practitioner - Optometry 6305249046

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jorgensen, Schulz and Associates Eyecare Center, SCGroup PAC ID 7911985528, 5 clinicians
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

1225 W Northland Ave
Appleton, WI 54914-1416
Phone (920) 731-2020

7865 Trinity Rd
Suite 104
Cordova, TN 38018-2274
Phone (901) 753-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000003601TNMDOptometrist
3601TNMDOccupational Therapy Assistant
1042MSMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jun 29, 2025 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jun 29, 2025 Accepting new patients
National Vision, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

7865 Trinity Rd
Ste 104
Cordova, TN 38018
Phone (901) 753-7100

1900 Kirby Pkwy
Ste 100B
Germantown, TN 38138
Phone (901) 754-0930

4260 Fort Henry Dr
Ste 16
Kingsport, TN 37663
Phone (423) 246-6317

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1427668136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 GALLINA CIR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170800",
            "telephone_number": "901-651-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 N QUAIL HOLLOW RD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201448",
            "telephone_number": "901-683-7255",
            "fax_number": "901-683-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5847 Poplar Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193949",
            "country_code": "US",
            "telephone_number": "901-498-6284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALISON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2022-10-19",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1042",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0000003601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.