Emily Marie Moore, OD
Individual provider Active NPI Optometrist · Morrisdale, PA
NPI 1922868751 · NPPES record last updated May 27, 2024
Key facts
- NPI
- 1922868751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG004141 (PA)
- Practice address
- 55 Rainbow LN
Morrisdale, PA 16858-8865 - Phone
- (814) 441-6023
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Butler Eye Care LLC
Sewickley Eye Center, LTD
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240813002913 | PA | Practitioner - Optometry | 6204374937 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG004141 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sewickley Eye Center, LTD | Current |
Accepting new patients | |
| Butler Eye Care, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Connecticut, LLC | Optometrist | Past | Accepting new patients |
| Butler Eye Care, LLC | Past |
Accepting new patients | |
| Luxottica of America Inc | Optometrist | Past | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG004141 | PA | Yes |
Addresses
Primary practice location
55 Rainbow LN
Morrisdale, PA 16858-8865
Mailing address
55 Rainbow LN
Morrisdale, PA 16858-8865
Other providers in Morrisdale, PA
- Makayla Greslick
- Amy L Hionis
- Heather Susanna Hugar
- Ann Louise McCleary
- Ashlee Rebekah McQuown
- Delanie Margaret Myers
- Karen E. Nelson
- Randi Jo Reichard
- Christie Kae Sabol
- Safe Harbors
All providers in Morrisdale, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.