Individual provider Active NPI

Robert L Moore, O.D.

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1487618674
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S758TA061 Issued in AL
Practice address
631 Helen Keller Blvd
Suite 100
Tuscaloosa, AL 35404-2983
Phone
(205) 758-1966
Fax
(205) 758-1548
NPI assigned
Apr 14, 2006
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S758TA061 AL Primary

Addresses

Primary practice location

631 Helen Keller Blvd
Suite 100
Tuscaloosa, AL 35404-2983

Mailing address

631 Helen Keller Blvd
Suite 100
Tuscaloosa, AL 35404-2983
Phone (205) 758-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20040506001491 AL Practitioner - Optometry 9739177650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert L. Moore, P.C.Group PAC ID 1658369566, 2 clinicians

Practice addresses (Care Compare)

631 Helen Keller Blvd
Suite 100
Tuscaloosa, AL 35404-2997
Phone (205) 758-1966

Merit-based Incentive Payment System (MIPS)

Final score
93.11 of 100Reported as individual
Quality
86.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S758TA061ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L. Moore, P.C. Optometrist CurrentSince Sep 8, 1992 Accepting new patients
Alabama Vision Center, LLC Optometrist PastSince Sep 8, 1992 Accepting new patients

Locations

631 Helen Keller Blvd
Ste 100
Tuscaloosa, AL 35404
Phone (205) 758-1966

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: robert.moore@direct.revolutionehr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1487618674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 HELEN KELLER BLVD",
            "address_2": "SUITE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042983",
            "telephone_number": "205-758-1966",
            "fax_number": "205-758-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 HELEN KELLER BLVD",
            "address_2": "SUITE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042983",
            "telephone_number": "205-758-1966",
            "fax_number": "205-758-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S758TA061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.