Jim Moore, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2740TG Issued in TX

Legal business name

JIM MOORE, OD, PC

Practice address

3635 S Soncy Rd
Amarillo, TX 79119-6402

Phone

(806) 356-6868

Fax

(806) 351-0120

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Jim Moore, OD, PC

Title

Owner

Phone

(806) 356-6868

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1861650491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 S SONCY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196402",
            "telephone_number": "806-356-6868",
            "fax_number": "806-351-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S SONCY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196402",
            "telephone_number": "806-356-6868",
            "fax_number": "806-351-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM MOORE, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-356-6868",
        "authorized_official_credential": "OD, PC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2740TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibbie Jeter, FNP
• Frankie Jew, RPH
• Paul Jew, MD
• Bethany Jex
• JG Therapy LLC
• JK Barton Incorporated
• Jo Anne Cook, PC
• Karen Joe
• Johnny Thomas Johansen
• John F. Kaczmarek, M.D., P.a.

• Optometrist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.