Katherine Mor, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6495TG Issued in TX

Practice address

4631 S Hulen St
Fort Worth, TX 76132-1401

Phone

(817) 346-7077

Fax

(817) 916-5349

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyeworks at West 7THGroup PAC ID 6002206042, 4 clinicians

The Eye Group of Texas, LLCGroup PAC ID 7012096928, 5 clinicians

DRCS Group, Inc.Group PAC ID 4880871516, 6 clinicians

Practice addresses (Care Compare)

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.

• DRCS Group, Inc.

  • Optometrist
  • Fort Worth, TX
  • NPI 1790088144
  Medicare reassignment Care Compare group NPD
• Eyeworks at West 7TH

  • Optometrist
  • Fort Worth, TX
  • NPI 1770025892
  Medicare reassignment Care Compare group NPD
• The Eye Group of Texas LLC

  • Optometrist
  • Southlake, TX
  • NPI 1720026719
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1821048802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321401",
            "telephone_number": "817-346-7077",
            "fax_number": "817-916-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321401",
            "telephone_number": "817-346-7077",
            "fax_number": "817-916-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOR",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6495TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12775 TPA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "TXB127618",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Scott Moore, MD
• Tyler Moore, MD
• William C Moore, MD
• Annorah Sheeran Moorman, PH.D.
• Katherine Moos
• Alejandra Mora
• Elizabeth Mora
• Kosisochukwu Mora, MPAS, PA-C
• Marisol Ariana Mora
• Monica Mora, LCSW

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.