MOORE VISION CENTER, PLLC (NPI# 1639573264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639573264 |
| Entity Type | Organization |
| Organization Name | MOORE VISION CENTER, PLLC |
| Practice Address |
467 Main St Ste 401 Madison WV 25130-2200 |
| Practice Telephone | 3043699100 |
| Practice Fax Number | 3043699105 |
| Mailing Telephone | 3043699100 |
| Mailing Fax Number | 3043699105 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |
| Authorized Official Name | DR. MARTY BRAXTON MOORE (OPTOMETRIST) |
| Authorized Official Telephone | 3043699100 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1064-OD | WV | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043532153 | Moore Vision Center, Pllc | Optometrist | 467 Main St, Suite 401, Madison, WV 25130-2200 | 2010-02-17 |
| Street Address |
467 MAIN ST STE 401 |
| City | MADISON |
| State | WV |
| Zip Code | 25130-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960957 | Sadie Vance | Technician | 1 Ave C, Madison, WV 25130 | 2020-07-30 |
| 1255940516 | Katie Adkins | Technician | 109 Ave C, Madison, WV 25130 | 2020-07-23 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1386710028 | Lisa Gaye Dolan | Registered Nurse | 69 Avenue B, Boone County of Educations, Madison, WV 25130 | 2006-11-27 |
| 1679671549 | Atkins Dds Inc | Dentist | 221 State Street, Suite 102, Madison, WV 25130 | 2006-09-21 |
| 1063446854 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3265 Smoot Avenue, Madison, WV 25130 | 2006-07-10 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| 1689628489 | Kathy Jo Hill | Nurse Practitioner | 701 Madison Avenue, Boone Memorial Hospital, Madison, WV 25130 | 2006-05-19 |
| 1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
| 1770979874 | Michael Vaughn Baxter Bledsoe | Family Medicine | 701 Madison Ave, Madison, WV 25130 | 2015-04-15 |
| Find all providers in zip 25130 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903815 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 422 Gammon Pl, Madison, WI 53719-1026 | 2019-10-08 |
| 1871159251 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3868 E Washington Ave Ste F, Madison, WI 53704-3600 | 2019-05-11 |
| 1245785948 | Wisconsin Council of The Blind and Visually Impaired, Inc | Eyewear Supplier (Equipment, not the service) | 754 Williamson St, Madison, WI 53703-3546 | 2016-08-23 |
| 1073785796 | The Eyeglass Shoppe of Madison, Inc. | Eyewear Supplier (Equipment, not the service) | 26 Waverly Pl, Madison, NJ 07940-1807 | 2008-04-02 |
| 1457520553 | Donch and Baker, O.d. Eye Doctors of Madison, LLC | Eyewear Supplier (Equipment, not the service) | 103 N Lake St, Madison, OH 44057-3115 | 2008-02-22 |
| 1942323795 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1821 S Stoughton Rd Ste 200, Madison, WI 53716-2257 | 2007-04-09 |
| 1003941188 | Eyecare Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 7880 Madison Pike, Madison, AL 35758-1435 | 2007-02-22 |
| 1427102441 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 29 E Towne Mall, Madison, WI 53704-3711 | 2007-01-23 |
| 1538213848 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1 W Towne Mall # C59, Madison, WI 53719 | 2007-01-23 |
| 1942366299 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 43 E Town Mall, East Towne Mall, Madison, WI 53704-3711 | 2006-12-29 |
| Find all providers in MADISON | ||||
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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.