Gregory S. Moore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

843OD Issued in WV

Practice address

100 W Main St Ste a
Buckhannon, WV 26201-2292

Phone

(304) 472-1235

Fax

(304) 472-1234

NPI assigned

Jul 11, 2006

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, TN, FL, MD, DC5 enrollments

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 5

Specialty

Optometry

Education

Southern College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Myeyedr Optometry of West Virginia PLLCGroup PAC ID 6709170434, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Martinsburg, WV
  • NPI 1053760363
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Florida, LLC

  dba MyEyeDr.

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment NPD
• Myeyedr Optometry of Tennessee, LLC

  dba MyEyeDr.

  • Optometrist
  • Chattanooga, TN
  • NPI 1619481587
  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Clinton, MD
  • NPI 1497124796

  DC

  Medicare reassignment
• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Buckhannon, WV
  • NPI 1285296145
  NPD
• Myeyedr Optometry of West Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Martinsburg, WV
  • NPI 1700235017
  NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Clearwater, FL
  • NPI 1730054594
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Baltimore, MD
  • NPI 1295192870
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Aspen Hill, MD
  • NPI 1639067549
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Mount Juliet, TN
  • NPI 1588516918
  NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1821023839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST STE A",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012292",
            "telephone_number": "304-472-1235",
            "fax_number": "304-472-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GREGORY",
        "middle_name": "S.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "843-IODF",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA2907",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "843OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Faye Minix
• Mongold Medical Services LLC (Goldilocks Pediatrics)
• Jessica Mongold, FNP-C
• Dawn Montalvo
• April M Moore
• Hope S Moore
• Morgan Psychological Services
• Anna M Morgan
• Caitlin Ann Morgan, CNM
• Morgan Dodd Morgan, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.