TIFFANY LOUISE MOORE (NPI# 1417200288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417200288 |
| Entity Type | Individual |
| Full Name | TIFFANY LOUISE MOORE |
| Credential | O.D. |
| Practice Address |
800 4th St Santa Rosa CA 95404-4505 |
| Mailing Address |
2024 Montecito Ave Santa Rosa CA 95404 UM |
| Practice Telephone | 7075421554 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2015-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 15230 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700250495 | Tiffany Moore | Massage Therapist | 2930 E Leffel Ln, Springfield, OH 45505-4540 | 2015-11-18 |
| 1356717946 | Tiffany Moore | Home Health | 233 25th Ct Nw, Center Point, AL 35215-2445 | 2015-08-18 |
| 1467839928 | Tiffany Moore | Private Vehicle | 8400 W Charleston Blvd Apt 208, Las Vegas, NV 89117-9034 | 2015-05-04 |
| 1659508430 | Tiffany Joann Moore | Registered Nurse | Unit 15244 Box 345, Apo, AP 96205-5244 | 2009-06-18 |
| 1366456048 | Tiffany Annette Moore | Counselor | 5 W Pearce Blvd, Wentzville, MO 63385-1415 | 2006-07-28 |
| 1891334702 | Tiffany Palertree Moore | Speech-Language Pathologist | 131 Public Square, Bruce, MS 38915 | 2019-12-26 |
| 1346883147 | Tiffany Ann Moore | Counselor | 126 E 2nd St, Chillicothe, OH 45601-2593 | 2019-10-24 |
| 1588128367 | Tiffany Mary Moore | Counselor | 6000 Ramsey Way, Dickson, TN 37055-2198 | 2019-01-26 |
| 1235616533 | Tiffany Moore | Behavior Technician | 1847 S Kihei Rd Ste 104-105, Kihei, HI 96753-7939 | 2018-07-19 |
| 1518453067 | Tiffany M Moore | Community Health Worker | 2490 Lee Blvd Ste 103, Cleveland Hts, OH 44118-1255 | 2018-07-09 |
| Street Address |
800 4TH ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376771808 | R. David Jones, O.d. | Optometrist | 800 4th St, Santa Rosa, CA 95404-4505 | 2009-06-23 |
| 1578090981 | Tiffany Moore, O.d. Inc, A Professional Optometric Corporation | Optometrist | 800 4th St, Santa Rosa, CA 95404-4505 | 2017-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| 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 |
|---|---|---|---|---|
| 1568943264 | Danny Chen Le | Optometrist | 290 Coddingtown Ctr, Santa Rosa, CA 95401-3506 | 2018-08-22 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1912241761 | Erica Shu-yeu Wu | Optometrist | 2655 Cleveland Ave Ste A, Santa Rosa, CA 95403 | 2012-11-18 |
| 1437467859 | Margot Shipley | Optometrist | 1430 Guerneville Rd Ste 3, Santa Rosa, CA 95403-4158 | 2010-09-20 |
| 1376771808 | R. David Jones, O.d. | Optometrist | 800 4th St, Santa Rosa, CA 95404-4505 | 2009-06-23 |
| 1194976936 | Nicole Janell Wood | Optometrist | 1430 Guerneville Rd., #3, Santa Rosa, CA 95403-4158 | 2008-10-09 |
| 1962677369 | Ladan Nazari | Optometrist | 1054 Santa Rosa Plz, Santa Rosa, CA 95401-6345 | 2008-04-25 |
| 1710193651 | Tom Tseng | Optometrist | 3540 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3639 | 2007-05-15 |
| 1174673727 | Harris R.young,o.d. | Optometrist | 1311 W Steele Ln, Santa Rosa, CA 95403-2956 | 2007-01-12 |
| 1619032695 | James Michael Harmon | Optometrist | 534 Larkfield Ctr, Santa Rosa, CA 95403-7503 | 2006-12-27 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.