Organization Active NPI

Moore Optometry, PLLC

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1891663696
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOORE OPTOMETRY, PLLC
Practice address
100 N Tryon St Ste 280
Charlotte, NC 28202-4004
Phone
(704) 377-3937
Fax
(704) 358-3510
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Spencer Elise Moore, ODNPI 1710535778
Title
Doctor
Phone
(704) 258-0569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 N Tryon St Ste 280
Charlotte, NC 28202-4004

Mailing address

100 N Tryon St Ste 280
Charlotte, NC 28202-4004
Phone (704) 377-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260107002814 NC Part B Supplier - Clinic/Group Practice 5092291377 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1891663696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N TRYON ST STE 280",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282024004",
            "telephone_number": "704-377-3937",
            "fax_number": "704-358-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N TRYON ST STE 280",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282024004",
            "telephone_number": "704-377-3937",
            "fax_number": "704-358-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-258-0569",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.