Individual provider Active NPI

Christopher David Moore, O.D.

  • Optometrist
  • Jersey City, NJ
National Provider Identifier
1952376543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4830 Issued in NJ
Practice address
30 Mall Dr W # 103a
Jersey City, NJ 07310-1615
Phone
(201) 420-9471
Fax
(201) 420-9923
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4830 NJ Primary

Addresses

Primary practice location

30 Mall Dr W # 103a
Jersey City, NJ 07310-1615

Mailing address

12 Elaine CT
Califon, NJ 07830-3554
Phone (201) 420-9471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050823000159 NJ Practitioner - Optometry 2860420924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Valley Eye Care LLCGroup PAC ID 7618056128, 2 clinicians

Practice addresses (Care Compare)

62 E Mill Rd
Suite C4
Long Valley, NJ 07853-3118
Phone (908) 876-9955

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4830NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Eye Care Optometrist CurrentSince Apr 20, 2026 Accepting new patients
Long Valley Eye Care, LLC Optometrist CurrentSince Jan 1, 2007 Accepting new patients
Newport Optical, LLC Past Accepting new patients
Yekaterina Shteyn, OD, PC Optometrist PastSince Oct 20, 2019 Accepting new patients
Seemore, Inc. Dba Cohen'S Fashion Optical Optometrist Past Accepting new patients

Locations

62 E Mill Rd
Ste C8
Long Valley, NJ 07853
Phone (908) 876-9955

62 E Mill Rd
Ste C4
Long Valley, NJ 07853
Phone (908) 876-9955

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952376543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELAINE CT",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078303554",
            "telephone_number": "201-420-9471",
            "fax_number": "201-420-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MALL DR W # 103A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101615",
            "telephone_number": "201-420-9471",
            "fax_number": "201-420-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.