DR. DIANA MCKENZIE MOORE (NPI# 1093768806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093768806 |
| Entity Type | Individual |
| Full Name | DR. DIANA MCKENZIE MOORE |
| Credential | O.D.,P.A. |
| Practice Address |
400 Bryant Ave Bryant AR 72022-3813 |
| Mailing Address |
6925 Worth Ave E Benton AR 72015-6797 |
| Practice Telephone | 5018479898 |
| Practice Fax Number | 5018479898 |
| Mailing Telephone | 5018479898 |
| Mailing Fax Number | 5018472599 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2379 | AR | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342218 | Diana E Moore | Nurse Practitioner | 1800 Ridgemar Dr, Cleburne, TX 76031-1353 | 2020-10-04 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1902203847 | Diana Moore | Psychologist | 1323 Bia Rd. 20, Fort Thomspson, SD 57339 | 2014-11-20 |
| 1013496306 | Diana Lou Moore | Technician | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2018-08-08 |
| 1740703735 | Diana Moore | Occupational Therapist | 342 Birnie Ave, Springfield, MA 01107-1104 | 2017-07-20 |
| 1073053294 | Diana Moore | Social Worker | 11120 S Crown Way, Suite 1, Wellington, FL 33414-8718 | 2017-03-07 |
| 1710330097 | Diana T Moore | Counselor | G3500 Flushing Rd Ste 250, Flint, MI 48504-4238 | 2016-07-21 |
| 1487856738 | Diana Moore | Pharmacist | 2250 Hickory Rd, Ste 240, Plymouth Meeting, PA 19462-1047 | 2007-05-31 |
| 1245370360 | Diana Moore | Counselor | 2712 S Calhoun St, Fort Wayne, IN 46807-1402 | 2007-02-07 |
| 1104985233 | Diana R Moore | Counselor | 2020 Brown St, Anderson, IN 46016-4218 | 2006-12-06 |
| Street Address |
400 BRYANT AVE |
| City | BRYANT |
| State | AR |
| Zip Code | 72022-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194068 | Kenna Cassat | Pharmacist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2020-11-04 |
| 1457952822 | Adrianne Ramsay | Pharmacist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2020-11-03 |
| 1194150458 | Central Arkansas Vision Care, P.a. | Optometrist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2013-09-05 |
| 1871762963 | Leslie Reeves | Optometrist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2008-02-22 |
| 1487844171 | Kristin Lorraine Heien | Optometrist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2007-07-28 |
| 1205919776 | Wal-mart Stores, Inc. | Technician/Technologist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2006-10-20 |
| 1861419269 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 400 Bryant Ave, Bryant, AR 72022-3813 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
| 1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
| 1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
| 1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| Find all providers in zip 72022 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346496445 | Sarah Suzanne Lunsford | Optometrist | 3401 Highway 5 N, Bryant, AR 72019-9109 | 2008-08-08 |
| 1407047897 | Bryant Eyecare Clinic | Optometrist | 2900 Horizon Dr, Suite 15, Bryant, AR 72022 | 2007-08-09 |
| 1780776518 | Bryant Eyecare Clinic | Optometrist | 2900 Horizon Dr Ste 14, Bryant, AR 72022-9095 | 2006-09-29 |
| 1508812686 | Jason Bright | Optometrist | 100 Bryant Ave, Suite 2, Bryant, AR 72022-3812 | 2006-05-26 |
| 1588655237 | Herbert A Fisher | Optometrist | 3121 N Reynolds Rd Ste 4, Bryant, AR 72022-9190 | 2005-11-02 |
| 1730185588 | Bryan Gardner Armstrong | Optometrist | 2900 Horizon Dr Ste 15, Bryant, AR 72022-9095 | 2005-06-27 |
| 1194150458 | Central Arkansas Vision Care, P.a. | Optometrist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2013-09-05 |
| 1376713115 | Herbert A. Fisher, O.d | Optometrist | 3121 N Reynolds Rd Ste 4, Bryant, AR 72022-9190 | 2008-03-07 |
| 1871762963 | Leslie Reeves | Optometrist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2008-02-22 |
| 1487844171 | Kristin Lorraine Heien | Optometrist | 400 Bryant Ave, Bryant, AR 72022-3813 | 2007-07-28 |
| Find all providers in BRYANT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.