JEFFREY M MOORE OD PA


Address: 1444 Tamiami Trail, 481, Pt Charlotte, FL 33948
Phone: 9412550588

JEFFREY M MOORE OD PA (NPI# 1568537454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568537454
Entity Type Organization
Organization Name JEFFREY M MOORE OD PA
Practice Address 1444 Tamiami Trail
481
Pt Charlotte
FL 33948
Mailing Address 5142 Sw 3rd Ave
Cape Coral
FL 33914-7119
Practice Telephone 9412550588
Mailing Telephone 2395492506
Enumeration Date 2006-11-24
Last Update Date 2009-01-12
Authorized Official Name DR. JEFFREY M MOORE (OWNER OPTOMETRIST)
Authorized Official Telephone 9412550588
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OPC1680 FL Eye and Vision Services Providers

Office Location

Street Address 1444 TAMIAMI TRAIL
481
City PT CHARLOTTE
State FL
Zip Code 33948

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NPI Name Taxonomy Address Enumeration
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1508099847 Victoria Lynn Wagner Hearing Instrument Specialist 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 2009-09-03
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

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Competitor

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City PT CHARLOTTE
Zip Code 33948

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Dataset Information

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.

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