Shannon Moore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5232 Issued in MA

Practice address

340 Wood Rd Ste 2020
Braintree, MA 02184-2404

Phone

(781) 794-2200

NPI assigned

Jul 21, 2017

Last updated

Sep 18, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tchao Eye Associates LLC

  dba Blue Hills Eye Associates

  • Optometrist
  • Braintree, MA
  • NPI 1396508735
  NPD

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1770006660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WOOD RD",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "781-794-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WOOD RD STE 2020",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842404",
            "telephone_number": "781-794-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SHANNON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Pipp LLC
• Elizabeth Monaghan
• Hannah Lee Monroe, MSW
• Alfonso Gerardo Montillo, D.M.D.
• Makenzie Bridgette Moore
• Kalana K Mordarski, NP
• Lynai C Morelli, COTA/L
• Bailey Elizabeth Morgan
• Jessica Morris, OTR/L
• Michelle J Morris, PA

• Optometrist in Braintree, MA
• Providers in Braintree, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.