Jeffrey M Moore OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1680 Issued in FL

Legal business name

JEFFREY M MOORE OD PA

Practice address

1444 Tamiami Trail
481
PT Charlotte, FL 33948

Phone

(941) 255-0588

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M Moore, ODNPI 1447275557

Title

Owner Optometrist

Phone

(941) 255-0588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Jeffrey Moore, O.D.

  • Optometrist
  • Fort Myers, FL
  • NPI 1447275557
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1568537454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 SW 3RD AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339147119",
            "telephone_number": "239-549-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 TAMIAMI TRAIL",
            "address_2": "481",
            "city": "PT CHARLOTTE",
            "state": "FL",
            "postal_code": "33948",
            "telephone_number": "941-255-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M MOORE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "941-255-0588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alf Paradise Inc (Springs Day Care)
• Joseph Borza Jr.
• Kathryn L Bradley, CRNA
• Charlotte County Health Department
• Ips of Punta Gorda LLC
• Howard M. Kalter, PH.D.
• Sara Kamrani Torkestani, MD
• Joan O Kemsley, PA
• Brian J Kerbyson, D.O.
• Lionel J Lewis

• Optometrist in PT Charlotte, FL
• Providers in PT Charlotte, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.