David K Moore OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1206DT Issued in KY

Legal business name

DAVID K MOORE OD PLLC

Doing business as

the Eye Center of Radcliff

Practice address

1165 Walmart Way
Radcliff, KY 40160-1471

Phone

(270) 351-3937

Fax

(270) 352-2756

NPI assigned

Jan 28, 2017

Last updated

Jan 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David K. Moore, O.D.NPI 1871590596

Title

Owner

Phone

(270) 351-3937

Specialties & licenses 1

Addresses

Other names 1

• the Eye Center of Radcliff Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Moore, OD

  • Optometrist
  • Radcliff, KY
  • NPI 1871590596
  Authorized official Same address or phone

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485561600000",
    "number": "1629515630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 WALMART WAY",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601471",
            "telephone_number": "270-351-3937",
            "fax_number": "270-352-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 WALMART WAY",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601471",
            "telephone_number": "270-351-3937",
            "fax_number": "270-352-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K MOORE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-351-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1206DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the Eye Center of Radcliff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.