Moore Vision Inc

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

566 Issued in MS

Legal business name

MOORE VISION INC

Practice address

1722 Veterans Blvd
Ste C2
McComb, MS 39648-2052

Phone

(601) 684-4481

Fax

(601) 249-0309

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Stephen Moore, ODNPI 1700834728

Title

Owner Optometrist

Phone

(601) 249-0083

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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

• James Stephen Moore, O.D.

  • Corneal and Contact Management Optometrist
  • McComb, MS
  • NPI 1700834728
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1528026309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 VETERANS BLVD",
            "address_2": "STE C2",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482052",
            "telephone_number": "601-684-4481",
            "fax_number": "601-249-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 VETERANS BLVD",
            "address_2": "STE C2",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482052",
            "telephone_number": "601-684-4481",
            "fax_number": "601-249-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "601-249-0083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MS",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01729377",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Mitchell
• Stephanie Mixon
• Hanna Moak
• Jay Thames Moak, PH.D.
• Monique Gloria Monard, M.D.
• Charlotte Ann Moore
• Daisy Genolia Moore, M.S.
• James Stephen Moore, O.D.
• Melanie Moree
• Sybil Moss

• Corneal and Contact Management Optometrist in McComb, MS
• Providers in McComb, MS by specialty
• Corneal and Contact Management Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.