Sherl Christine Moore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2490 Issued in OK

Practice address

415 N Wilson St
Vinita, OK 74301-2432

Phone

(918) 256-5646

Fax

(918) 456-0020

NPI assigned

Jan 5, 2007

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

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.

• Sherl Moore OD PLLC

  • Optometrist
  • Vinita, OK
  • NPI 1275722738
  Medicare reassignment Authorized official
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Tahlequah, OK
  • NPI 1093722324
  NPD (past)
• Gary R. Morgan, Optometrist, P.C.

  • Optometrist
  • Tahlequah, OK
  • NPI 1962821546
  NPD (past)
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  NPD (past)
• Qualls & Associates, Inc.

  dba Your Eye Shop

  • Optician
  • Sallisaw, OK
  • NPI 1598809790
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1598812075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012432",
            "telephone_number": "918-256-5646",
            "fax_number": "918-256-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N WILSON ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743012432",
            "telephone_number": "918-256-5646",
            "fax_number": "918-456-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHERL",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millercozyhome
• Ashlyn Diane Mitchell
• Dusty Cheyenne Mitchell, RBT
• Nicholas Adam Money
• Nathaniel Maques Moore
• Amelia Morgan, PHARM.D.
• Jessica J Morrison
• Lora Jean Morrison
• Michelle D Moss, PHARMD
• Motor Mouth Vinita

• Optometrist in Vinita, OK
• Providers in Vinita, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.