Individual provider Active NPI

Claire Fielding Moore, O.D.

  • Optometrist
  • Champions Gate, FL
National Provider Identifier
1891005542
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2664 Issued in OK
Practice address
1346 Gilford Point LN
Champions Gate, FL 33896-5300
Phone
(918) 306-0980
NPI assigned
Oct 15, 2010
Last updated
Oct 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2664 OK Primary

Addresses

Primary practice location

1346 Gilford Point LN
Champions Gate, FL 33896-5300

Mailing address

1346 Gilford Point LN
Champions Gate, FL 33896-5300
Phone (918) 306-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20240124002243 OK Practitioner - Optometry 1052764289 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2664OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayes & Mayes Optometry, PLLC Optometrist CurrentSince Dec 18, 2023 Accepting new patients

Locations

2800 NW 36th St
Oklahoma City, OK 73112
Phone (405) 601-4303

2800 NW 36th St
Ste 100
Oklahoma City, OK 73112

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1891005542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 GILFORD POINT LN",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338965300",
            "telephone_number": "918-306-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 GILFORD POINT LN",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338965300",
            "telephone_number": "918-306-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CLAIRE",
        "middle_name": "FIELDING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champions Gate, FL

Sources for this page

Verify at the official NPI Registry.