Moore Vision Center North, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1064OD Issued in WV

Legal business name

MOORE VISION CENTER NORTH, PLLC

Practice address

2700 Mountaineer Blvd
South Charleston, WV 25309-9442

Phone

(304) 744-2713

Fax

(304) 744-0704

NPI assigned

Sep 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marty B Moore, O.D.

Title

Optometrist

Phone

(304) 369-9100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1922357136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "address_2": "SUITE 401",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251302200",
            "telephone_number": "304-369-9100",
            "fax_number": "304-369-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MOUNTAINEER BLVD",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253099442",
            "telephone_number": "304-744-2713",
            "fax_number": "304-744-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE VISION CENTER NORTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "304-369-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1064OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Mollett
• Sydney Beth Monaghan
• Rachel Ann Monceaux, APRN
• Savanna Monk
• Caitlin Greer Montoya
• Ashton Moore
• Barbara Lucille Moore
• Charli Leann Moore, FNP-C
• Chloe Moore
• Connie Moore

• 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 4, 2012; 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.