Douglas Loran Moore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03463 Issued in MO

Practice address

1902 W 19TH St
Suite a
Mountain Grove, MO 65711-1287

Phone

(417) 926-3937

Fax

(417) 926-3952

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

No

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 MO

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

Southern College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moore Family Eyecare, LLCGroup PAC ID 8022149707, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.41 of 100Reported as group

Quality

78.81

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: d.moore@direct.revolutionehr.com
• Direct secure messaging: dougmoore@vision-clinic-branson.direct.kno2fy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moore Family Eyecare, LLC

  • Health Service Clinic/Center
  • Mountain Grove, MO
  • NPI 1053631770

  Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1679574396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 W 19TH ST",
            "address_2": "SUITE A",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111287",
            "telephone_number": "417-926-3937",
            "fax_number": "417-926-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 W 19TH ST",
            "address_2": "SUITE A",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111287",
            "telephone_number": "417-926-3937",
            "fax_number": "417-926-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 State Highway 248 Ste A",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656168004",
            "country_code": "US",
            "telephone_number": "417-334-0044",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DOUGLAS",
        "middle_name": "LORAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menm, LLC
• Mercy Clinic Springfield Communities
• Mercy St Francis Hospital
• Alexis Mills, PA-C
• Moore Family Eyecare, LLC
• Jade Moore, APRN, FNP-C
• Mountain Grove 2 Inc
• Mountain Grove Medical and Laser Center Inc
• Mountain Grove Medical and Laser Center Inc
• Mountain Grove Pharmacy Inc

• Optometrist in Mountain Grove, MO
• Providers in Mountain Grove, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.