Lewis D. Moore, OD., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02542TG Issued in TX

Legal business name

LEWIS D. MOORE, OD., P.A.

Practice address

2134 50TH St
Lubbock, TX 79412-2603

Phone

(806) 744-8484

NPI assigned

Sep 15, 2008

Organization subpart

Yes

Parent organization

LEWIS D. MOORE, O.D., P.A.As reported in NPPES

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

Authorized official

Name

Deborah Ann Cruz

Title

Office Manager

Phone

(806) 744-8484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LEWIS D. MOORE, O.D., P.A. Former legal business name

Part of

Lewis D Moore OD PA

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1740439819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122603",
            "telephone_number": "806-744-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122603",
            "telephone_number": "806-744-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS D. MOORE, OD., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWIS D. MOORE, O.D., P.A.",
        "enumeration_date": "2008-09-15",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-744-8484"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02542TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DO3691",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEWIS D. MOORE, O.D., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Amelia Lewis, LMFT, LCDC-I
• Antrionette Karmisha Lewis
• Betty Malisa Lewis, F.N.P.
• Cami Lewis, OTR

• Optometrist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.