Moore Optometry Services, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

001723 Issued in GA

Legal business name

MOORE OPTOMETRY SERVICES, INC

Practice address

504 Peterson Ave S
Douglas, GA 31533-5254

Phone

(912) 389-1230

Fax

(912) 389-1260

NPI assigned

Mar 29, 2007

Last updated

Feb 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Moore, O.D.NPI 1043328800

Title

Optometrist

Phone

(912) 383-1784

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark D Moore, OD

  • Optometrist
  • Douglas, GA
  • NPI 1043328800
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1952421679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 PETERSON AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315335254",
            "telephone_number": "912-389-1230",
            "fax_number": "912-389-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 PETERSON AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315335254",
            "telephone_number": "912-389-1230",
            "fax_number": "912-389-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE OPTOMETRY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "912-383-1784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457498953D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mihai Mocanu, O.D.
• Deborah Elder Moffet, P.A., D.C.
• John Boyd Moffet, DC
• Denise E. Mooney, PT
• Moore Optometry Services, Inc
• Mark D Moore, OD
• Ross Glenn Moorman III, M.D.
• Sara Nikole Morris, SLP
• MPPG, Inc. (Savannah Perinatology Associates)
• Sadia Afrin Munna, MD

• Optometrist in Douglas, GA
• Providers in Douglas, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.