Diana Lynne Moore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2130 Issued in CO

Practice address

1123 Eagle Dr
Loveland, CO 80537-8020

Phone

(970) 622-0646

NPI assigned

Mar 8, 2006

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

Enrolled in WA

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

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kitsap Eyecare Centers Inc PSGroup PAC ID 2264320894, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Kitsap Eyecare Centers Inc PS

  • Optometrist
  • Poulsbo, WA
  • NPI 1477612463
  Medicare reassignment Care Compare group NPD
• Moore Vision P.C. Dba Premier Family Eyecare

  • Optometrist
  • Loveland, CO
  • NPI 1346217536
  NPD (past) Authorized official

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1801864756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 EAGLE DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378020",
            "telephone_number": "970-622-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 EAGLE DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378020",
            "telephone_number": "970-622-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DIANA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elianna Mondragon
• Bryant Monreal, BS
• Moore Plumbing & Home Improvement, Inc.
• Moore Vision P.C. Dba Premier Family Eyecare
• Claire S Moore, NP
• Jessica Moore
• John James Moore
• Linda Lee Moore
• Robyn Geannine Moore
• Juan Sebastian Morales, PT, DPT

• Optometrist in Loveland, CO
• Providers in Loveland, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.