Sally Wong Moore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

SA38TA597 Issued in AL

Practice address

10040 County Road 48
Fairhope, AL 36533

Phone

(251) 990-9094

NPI assigned

May 22, 2008

Sex

Female

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 AL

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)

Enrolled

State licenses

Practice roles

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.

• Sally W. Moore, O.D., P.C.

  • Optometrist
  • Daphne, AL
  • NPI 1215029616
  NPD (past) Authorized official

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1699932012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 PINE LOG CT",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266152",
            "telephone_number": "251-753-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 COUNTY ROAD 48",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36533",
            "telephone_number": "251-990-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SALLY",
        "middle_name": "WONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA38TA597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Wound Care of Alabama LLC
• Molly Cameron
• Richard Monroe, LPC
• Stephanie Leann Montgomery, O.D
• Margaret T Moore, M.D.
• Julia Morgan, RN
• Kelley O'Conor Morgan
• Caroline Morris, PMHNP
• Andrea Marie Morrison, LPC
• Wanda L. Morrison, OT

• Optometrist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.