Organization Active NPI

Isaac Moore MD

  • Ophthalmology Physician
  • Tallahassee, FL
National Provider Identifier
1437147147
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 31862 Issued in FL
Legal business name
ISAAC MOORE MD
Practice address
2160 Capital Cir NE
Suite 200
Tallahassee, FL 32308-4390
Phone
(850) 385-0033
Fax
(850) 422-0201
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Isaac Moore, M.D.
Title
Owner
Phone
(850) 385-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME 31862 FL Primary

Addresses

Primary practice location

2160 Capital Cir NE
Suite 200
Tallahassee, FL 32308-4390

Mailing address

PO Box 13029
Tallahassee, FL 32317-3029
Phone (850) 385-0033

Other identifiers 4

IdentifierTypeStateIssuer
00389496AMedicaidGA
039263400MedicaidFL
406182936OtherUNITED HEALTH CARE
406182936OtherRAILROAD MEDICARE

Other names 1

  • ALPHA EYE CLINIC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1437147147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13029",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173029",
            "telephone_number": "850-385-0033",
            "fax_number": "850-422-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 CAPITAL CIR NE",
            "address_2": "SUITE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084390",
            "telephone_number": "850-385-0033",
            "fax_number": "850-422-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC MOORE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-385-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 31862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00389496A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039263400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "406182936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406182936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPHA EYE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.