Individual provider Active NPI

David A Moore, O.D.

  • Optometrist
  • Stephenville, TX
National Provider Identifier
1710177274
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7091T Issued in TX
Practice address
261 N Harbin Dr
Stephenville, TX 76401-2814
Phone
(254) 968-2345
Fax
(254) 968-2352
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7091T TX Primary

Addresses

Primary practice location

261 N Harbin Dr
Stephenville, TX 76401-2814

Mailing address

261 N Harbin Dr
Stephenville, TX 76401-2814
Phone (254) 968-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080313000625 TX Practitioner - Optometry 6002991114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Eye and Optical Flower Mound PLLCGroup PAC ID 4587035795, 2 clinicians
David Moore OD PCGroup PAC ID 0244387256, 2 clinicians
Clear Eye Associates and Optical PCGroup PAC ID 7012290802, 2 clinicians

Practice addresses (Care Compare)

101 N Stemmons Fwy
Suite B
Lewisville, TX 75067-3568
Phone (972) 221-2563

2545 Northwest Loop
Stephenville, TX 76401-1601
Phone (254) 968-2345

5912 Convair Dr
Suite 208
Fort Worth, TX 76109-1269
Phone (817) 880-7917

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7091TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Eye & Optical Flower Mound PLLC Optometrist CurrentSince Jan 2, 2023 Accepting new patients
David Moore, O.D., P.C. Optometrist CurrentSince Apr 8, 2009 Accepting new patients
Clear Eye Associates and Optical PC Optometrist CurrentSince Oct 13, 2016 Accepting new patients

Locations

5912 Convair Dr
Ste 208
Fort Worth, TX 76109
Phone (254) 968-2345

101 N Stemmons Fwy
Lewisville, TX 75067

101 N Stemmons Fwy
#B
Lewisville, TX 75067
Phone (469) 809-6800

2545 NW Loop
Stephenville, TX 76401
Phone (254) 968-2345

261 N Harbin Dr
Stephenville, TX 76401
Phone (254) 968-2345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1710177274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N HARBIN DR",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012814",
            "telephone_number": "254-968-2345",
            "fax_number": "254-968-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N HARBIN DR",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012814",
            "telephone_number": "254-968-2345",
            "fax_number": "254-968-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7091T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

Verify at the official NPI Registry.