Spencer Elise Moore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2579 Issued in NC

Practice address

100 N Tryon St Ste 280
Charlotte, NC 28202-4004

Phone

(704) 377-3937

Fax

(704) 358-3510

NPI assigned

Sep 3, 2019

Last updated

Sep 3, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Moore Optometry, PLLC

  • Optometrist
  • Charlotte, NC
  • NPI 1891663696
  Medicare reassignment NPD Authorized official
• Steven C Moore, OD

  • Optometrist
  • Charlotte, NC
  • NPI 1083600530
  Medicare reassignment
• Dr. Steven C. Moore & Associates

  • Optometrist
  • Charlotte, NC
  • NPI 1528094778
  NPD (past)

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1710535778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N TRYON ST STE 280",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282024004",
            "telephone_number": "704-377-3937",
            "fax_number": "704-358-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N TRYON ST STE 280",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282024004",
            "telephone_number": "704-377-3937",
            "fax_number": "704-358-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SPENCER",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Revolution",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EHR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "100 N Tryon St Ste 280",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282024004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Savannah L Moore
• Savannah Nicole Moore, CGC
• Selita Moore
• Shar Vegas D Moore
• Shenita Spencer Moore, MD
• Stephen Charles Moore, MD
• Steven Anthony Moore, MD
• Steven C Moore, OD
• Susan Ashley Moore, NP
• Takyra Moore

• Optometrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.