Gregory S Moore OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

843OD Issued in WV

Legal business name

GREGORY S MOORE OD PC

Practice address

2335 Chesterfield Ave Ste 303
Charleston, WV 25304-1066

Phone

(304) 768-7902

Fax

(304) 768-7932

NPI assigned

Mar 19, 2007

Organization subpart

Yes

Parent organization

GREGORY S. MOORE OD PC DBA MOORE EYE CARE CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Gregory Scott Moore, OD

Title

Owner

Phone

(304) 768-7902

Specialties & licenses 1

Addresses

Other names 1

• Moore Eye Care Center Doing business as

Part of

Gregory S Moore OD PC

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1790809226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CHESTERFIELD AVE STE 303",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041066",
            "telephone_number": "304-768-7902",
            "fax_number": "304-768-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 CHESTERFIELD AVE STE 303",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041066",
            "telephone_number": "304-768-7902",
            "fax_number": "304-768-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY S MOORE OD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREGORY S. MOORE OD PC DBA MOORE EYE CARE CENTER",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-768-7902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "843OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Lee Greer, LGSW
• Jennifer Lee Greer, RPH
• Jennifer L Gregan
• Cheryl Gregg
• Haleigh Gregg
• Brianna Gregory
• Olivia Gregory
• Bernard Greisman, M.D.
• Chelsea Gresham, PHARM.D.
• Nevaeh Gresham

• Optometrist in Charleston, WV
• Providers in Charleston, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.