Active NPI
Alison Moore, OD
- Optometrist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0000003601
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- 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
- Southern College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000003601 | TN | MD | Optometrist |
| 3601 | TN | MD | Occupational Therapy Assistant |
| 1042 | MS | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| National Vision, Inc. | Past | 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.
-
- Optometrist
- Appleton, WI
- NPI 1588784979
-
- Optometrist
- Creston, IA
- NPI 1548023518
-
- Optician
- Memphis, TN
- NPI 1619333077
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.