Andrea Moore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100265 Issued in ID

Practice address

710 Superior St
Suite a
Sandpoint, ID 83864-1684

Phone

(208) 263-9000

Fax

(208) 263-9589

NPI assigned

May 29, 2009

Sex

Female

Sole proprietor

No

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.

• Eye Care for You

  • Optometrist
  • Sandpoint, ID
  • NPI 1710042353

  ID, Optometrist

  Medicare reassignment Care Compare group NPD
• Eyemd on Cass a Professional Corporation

  • Optometrist
  • Monterey, CA
  • NPI 1205095742
  NPD (past)

Specialty

Optometry

Education

Southern California College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care for You 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2014.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1679709042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SUPERIOR ST",
            "address_2": "SUITE A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641684",
            "telephone_number": "208-263-9000",
            "fax_number": "208-263-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUPERIOR ST",
            "address_2": "SUITE A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641684",
            "telephone_number": "208-263-9000",
            "fax_number": "208-263-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDREA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Momentum Medical Massage and Personal Training, LLC
• Monarch Health LLC
• Monarch Medical LLC
• Monarch Transitions
• Carol Lynne Montegary, NP
• Julia Elaine Moore, LPC
• Kathleen M Moore, PSY.D
• Moose Mountain Services
• David Scott Moran, FNP-C
• Delaney Morehouse, N.D.

• All providers in Sandpoint, ID
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.