Active NPI
Christopher David Moore, O.D.
- Optometrist
- Jersey City, NJ
National Provider Identifier
1952376543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4830
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
62 E Mill Rd
Suite C4
Long Valley, NJ 07853-3118
Phone (908) 876-9955
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4830 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Eye Care | Optometrist | Current | Accepting new patients |
| Long Valley Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Newport Optical, LLC | Past | Accepting new patients | |
| Yekaterina Shteyn, OD, PC | Optometrist | Past | 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.
-
- Optometrist
- Long Valley, NJ
- NPI 1265632251
-
- Optometrist
- Jersey City, NJ
- NPI 1063602803
-
- Optometrist
- Long Valley, NJ
- NPI 1629922711
-
- Optician
- Jersey City, NJ
- NPI 1427296813
-
- Optometrist
- Jersey City, NJ
- NPI 1538701032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.