Jacob J Moore MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M4373 Issued in TX

Legal business name

JACOB J MOORE MD PA

Practice address

900 Morgan Ave
Corpus Christi, TX 78404-2028

Phone

(361) 888-4288

Fax

(361) 888-4253

NPI assigned

Mar 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Jackson Moore, MDNPI 1144249277

Title

President

Phone

(361) 888-4288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal Bend Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Jackson Moore, M.D.

  • Ophthalmology Physician
  • Corpus Christi, TX
  • NPI 1144249277
  Medicare reassignment Care Compare group NPD Authorized official
• John T Dugan II, MD FAAO PA

  • Ophthalmology Physician
  • Corpus Christi, TX
  • NPI 1356340574
  Medicare reassignment Care Compare group NPD
• Anthony G Eby, O.D.

  • Optometrist
  • Corpus Christi, TX
  • NPI 1568461762
  Medicare reassignment Care Compare group NPD
• Jose H. Echevarria, O. D.

  • Optometrist
  • Corpus Christi, TX
  • NPI 1972586261
  Medicare reassignment Care Compare group NPD
• Nancy Ann Harrison, O.D.

  • Optometrist
  • Corpus Christi, TX
  • NPI 1679618607
  Medicare reassignment Care Compare group NPD
• S. Craig Smith, O.D.

  • Optometrist
  • Gainesville, TX
  • NPI 1720356454
  Medicare reassignment Care Compare group
• Renee Michelle Clark, O.D.

  • Optometrist
  • Edinburg, TX
  • NPI 1548517667
  Medicare reassignment NPD
• Leslie Love Dooley, OD

  • Optometrist
  • Corpus Christi, TX
  • NPI 1477617058
  Medicare reassignment NPD
• Jack A Sahadi, M.D.

  • Ophthalmology Physician
  • Corpus Christi, TX
  • NPI 1235152570
  Medicare reassignment NPD
• Kaylyn M Cummings, O.D.

  • Optometrist
  • Hanford, CA
  • NPI 1093164014

  TX

  Medicare reassignment
• Cristian Radaneata, OD

  • Optometrist
  • Kingsville, TX
  • NPI 1992702864
  NPD (past)
• Joseph A Brown, D.O.

  • Retina Specialist (Ophthalmology) Physician
  • Pikeville, KY
  • NPI 1861466427
  NPD (past)

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1982844858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3827",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784633827",
            "telephone_number": "361-888-4288",
            "fax_number": "361-888-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042028",
            "telephone_number": "361-888-4288",
            "fax_number": "361-888-4253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5488 S Padre Island Dr Ste 1308",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784114117",
            "country_code": "US",
            "telephone_number": "361-888-4288",
            "fax_number": "361-888-4293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACOB J MOORE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-888-4288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M4373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982844858",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Bend Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Jackson, LPC,CPO
• Leah Jackson, PTA
• Paul Jackson, DO
• Phillip Jackson, M.D.
• Taylor Catherine Jackson
• Jacob M Thompson DDS PC
• Nikhita Susan Jacob
• Jessie Pruett Jacobs, DMD
• Jacquelyn F. Cole, DC, PC
• Julie Brianne Jacquez

• Ophthalmology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.