Individual provider Active NPI

Chad Edwin Moore, OD

  • Optometrist
  • Joplin, MO
National Provider Identifier
1700817210
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006017254 Issued in MO
Practice address
1531 West 32ND Street
Suite 102
Joplin, MO 64804-1651
Phone
(417) 781-3630
Fax
(417) 781-9814
NPI assigned
Jul 5, 2006
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2006017254 MO Primary

Addresses

Primary practice location

1531 West 32ND Street
Suite 102
Joplin, MO 64804-1651

Mailing address

1531 West 32ND Street
Suite 102
Joplin, MO 64804-1651
Phone (417) 781-3630

Other identifiers 3

IdentifierTypeStateIssuer
200383240AMedicaidKS
212451OtherMOBC/BS
311200307MedicaidMO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061002000378 MO Practitioner - Optometry 8123023876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John a. Yuhas, M.D., P.C.Group PAC ID 0547265472, 4 clinicians

Practice addresses (Care Compare)

1531 W 32ND St
Suite 102
Joplin, MO 64804-1651
Phone (417) 781-3630

Merit-based Incentive Payment System (MIPS)

Final score
92.96 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006017254MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Yuhas, M.D., P.C. CurrentSince Oct 1, 2017 Accepting new patients
John a. Yuhas, M.D., P.C. Optometrist CurrentSince Oct 1, 2017 Accepting new patients
Swearingen and Burton LLC Optometrist PastSince Jun 15, 2021 Accepting new patients

Locations

1531 W 32nd St
Ste 102
Joplin, MO 64804
Phone (417) 781-3630

104 W Spring St
Neosho, MO 64850
Phone (417) 451-0400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1700817210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 WEST 32ND STREET",
            "address_2": "SUITE 102",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041651",
            "telephone_number": "417-781-3630",
            "fax_number": "417-781-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 WEST 32ND STREET",
            "address_2": "SUITE 102",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041651",
            "telephone_number": "417-781-3630",
            "fax_number": "417-781-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHAD",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006017254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200383240A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "212451",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311200307",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.