DR. MICHELLE ELIZABETH MOORE (NPI# 1194795971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194795971 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE ELIZABETH MOORE |
| Credential | O. D. |
| Practice Address |
683 Broad St Bristol CT 06010-6662 |
| Mailing Address |
11 Crown St Plainville CT 06062-2214 |
| Practice Telephone | 8605832020 |
| Mailing Telephone | 8607931330 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CT2482 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HNET | 0V5039 | 01 |
| CT | BLOCK VISION | 906456 | 01 |
| CT | CT. CARE | 599721 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619501020 | Michelle K Moore | Driver | 4179 Westbrook Dr, Cleveland, OH 44144-1234 | 2020-02-24 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1043769268 | Michelle Moore | Nurse Practitioner | 458 N May St, Chicago, IL 60642-5819 | 2016-09-29 |
| 1356747687 | Michelle Laverne Moore | Nurse Practitioner | 1050 Benton St, Santa Clara, CA 95050-4854 | 2014-11-13 |
| 1407251481 | Michelle Lynn Moore | Contractor | 364 Patteson Dr, 290, Morgantown, WV 26505-3202 | 2014-11-03 |
| 1164827754 | Michelle Moore | Counselor | 550 Bilper Ave Apt 6119, Lindenwold, NJ 08021-1866 | 2014-10-26 |
| 1669880423 | Michelle Moore | Counselor | 302 E Hersey St Ste 8, Ashland, OR 97520-1200 | 2014-07-24 |
| 1992112361 | Michelle Lejay Moore | Community Health Worker | 209 E Moore Ave, Terrell, TX 75160-3207 | 2014-07-17 |
| Street Address |
683 BROAD ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-6662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578543708 | Sidney Lee Shafran | Optometrist | 683 Broad St, Bristol, CT 06010-6662 | 2006-01-23 |
| 1942795851 | Caitlin A Condron | Optometrist | 683 Broad St, Bristol, CT 06010-6694 | 2018-06-25 |
| 1689873820 | Wachtel Shafran & Moore LLC | Optometrist | 683 Broad St, Bristol, CT 06010-6662 | 2007-07-17 |
| 1194705327 | William Douglas Wachtel | Optometrist | 683 Broad St, Bristol, CT 06010-6662 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| 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 |
|---|---|---|---|---|
| 1487710737 | Edward George Turro | Optometrist | 72 Farmington Ave, Bristol, CT 06010-4216 | 2006-12-29 |
| 1831266576 | Helen J Zervas | Optometrist | 780 King St, Bristol, CT 06010-4480 | 2006-11-29 |
| 1689745218 | Parag Kanitkar | Optometrist | 1262 Volunteer Pkwy, Bristol, TN 37620-4628 | 2006-11-13 |
| 1710089651 | James Patrick Callanan | Optometrist | 721 Commonwealth Ave, Bristol, VA 24201-3321 | 2006-09-01 |
| 1700991932 | 20/20 Vision Care, Inc. | Optometrist | 375 Metacom Ave, Bristol, RI 02809-5179 | 2006-08-20 |
| 1184634982 | Rhonda Fletcher Smith | Optometrist | 308 Ridgemont St, Bristol, TN 37620-7132 | 2006-08-08 |
| 1245257153 | Amy Himmelstein | Optometrist | 751 Farmington Ave, Bristol, CT 06010-3900 | 2006-07-16 |
| 1376582155 | William R Shumaker | Optometrist | 321 Midway Medical Park, Bristol, TN 37620-1651 | 2006-06-06 |
| 1144298456 | Michelle Hejny | Optometrist | 500 Gate City Hwy, Space 405, Bristol, VA 24201-2372 | 2006-03-10 |
| 1861467763 | Taylor E Repko | Optometrist | 1701 Euclid Ave Ste D, Bristol, VA 24201-3700 | 2006-02-22 |
| Find all providers in BRISTOL | ||||
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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.