Active NPI
Frank Norman Moore, OD
- Optometrist
- Tulsa, OK
National Provider Identifier
1487668208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1138
- Practice address
- 8004 S Memorial Dr
Tulsa, OK 74133-3644 - Phone
- (918) 461-2367
- Fax
- (918) 461-8717
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- 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 | 1138 | OK | Primary |
| Optometrist | 152W00000X | 1333 | CO |
Addresses
Primary practice location
8004 S Memorial Dr
Tulsa, OK 74133-3644
Mailing address
8004 S Memorial Dr
Tulsa, OK 74133-3644
Phone (918) 461-2367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100767650A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1138 | OK | MD | Professional Counselor |
| 1333 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Vision Development Center | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Tulsa, OK
- NPI 1437238961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1487668208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8004 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741333644",
"telephone_number": "918-461-2367",
"fax_number": "918-461-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741333644",
"telephone_number": "918-461-2367",
"fax_number": "918-461-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "FRANK",
"middle_name": "NORMAN",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "1138",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1333",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100767650A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.