Gregory Scott Moore OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GREGORY SCOTT MOORE OD PLLC

Practice address

301 RHL Blvd.
Ste 2020
South Charleston, WV 25309-8291

Phone

(304) 205-5844

Fax

(304) 205-5867

NPI assigned

Sep 12, 2013

Organization subpart

No

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

Authorized official

Name

Gregory S Moore

Title

President

Phone

(304) 205-5844

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Russell L Fry II, MD

  • Ophthalmology Physician
  • Huntington, WV
  • NPI 1114981826
  NPD (past)
• Tully Stephen Roisman, M.D.

  • Ophthalmology Physician
  • Huntington, WV
  • NPI 1801822242
  NPD (past)
• Darrell Steven Reisner, M.D.

  • Ophthalmology Physician
  • Sterling, VA
  • NPI 1912095019
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1902231632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11846",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391846",
            "telephone_number": "304-205-5844",
            "fax_number": "304-205-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RHL BLVD.",
            "address_2": "STE 2020",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253098291",
            "telephone_number": "304-205-5844",
            "fax_number": "304-205-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY SCOTT MOORE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-205-5844"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara K Green
• Lisa Kay Green
• Stacy Green
• Steven Green
• Allison Gregg
• Lucas J. Gregory, PT
• Randy Grizzle
• Tameka D Groom
• Brandon Michael Guerrette
• Julie V Guidry, PT

• Optometrist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.