Individual provider Active NPI

Emily Marie Moore, OD

  • Optometrist
  • Morrisdale, PA
National Provider Identifier
1922868751
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004141 Issued in PA
Practice address
55 Rainbow LN
Morrisdale, PA 16858-8865
Phone
(814) 441-6023
NPI assigned
Mar 20, 2024
Last updated
May 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004141 PA Primary

Addresses

Primary practice location

55 Rainbow LN
Morrisdale, PA 16858-8865

Mailing address

55 Rainbow LN
Morrisdale, PA 16858-8865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240813002913 PA Practitioner - Optometry 6204374937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Eye Care LLCGroup PAC ID 7517256993, 5 clinicians
Sewickley Eye Center, LTDGroup PAC ID 0345137105, 10 clinicians

Practice addresses (Care Compare)

391 Evans City Rd
Butler, PA 16001-6737
Phone (724) 283-8144

400 Broad St
Suite 2020
Sewickley, PA 15143-1500
Phone (412) 741-4610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sewickley Eye Center, LTD CurrentSince Jul 1, 2024 Accepting new patients
Butler Eye Care, LLC Optometrist CurrentSince Mar 30, 2026 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients
Luxottica of America Inc Optometrist Past Accepting new patients
Butler Eye Care, LLC PastSince Mar 30, 2026 Accepting new patients

Locations

846 California Ave
Avalon, PA 15202
Phone (412) 741-4610

391 Evans City Rd
Butler, PA 16001
Phone (724) 283-7303

27 Heckel Rd
Ste 211
Mc Kees Rocks, PA 15136
Phone (412) 777-4300

95 Golfview Dr
#A
Monaca, PA 15061
Phone (724) 770-9000

400 Broad St
Ste 2020
Sewickley, PA 15143
Phone (412) 741-4610

Organizations & group practices 5

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1922868751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RAINBOW LN",
            "city": "MORRISDALE",
            "state": "PA",
            "postal_code": "168588865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 RAINBOW LN",
            "city": "MORRISDALE",
            "state": "PA",
            "postal_code": "168588865",
            "telephone_number": "814-441-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisdale, PA

Sources for this page

Verify at the official NPI Registry.