DR. SALLY WONG MOORE (NPI# 1699932012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699932012 |
| Entity Type | Individual |
| Full Name | DR. SALLY WONG MOORE |
| Credential | O.D. |
| Practice Address |
10040 County Road 48 Fairhope AL 36533 |
| Mailing Address |
8223 Pine Log Ct Daphne AL 36526-6152 |
| Practice Telephone | 2519909094 |
| Mailing Telephone | 2517532978 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | SA38TA597 | AL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730635046 | Sally Moore | Physical Therapist | 1739 Elm Ct, Jefferson City, MO 65101-4303 | 2016-08-27 |
| 1255673505 | Sally Rae Moore | Registered Nurse | 100 Blassingame Rd, Greenville, SC 29605-3304 | 2013-03-25 |
| 1588902720 | Sally Moore | Behavioral Analyst | 400 W Visalia Rd, Suite B, Farmersville, CA 93223-1868 | 2013-01-23 |
| 1245595115 | Sally Moore | Psychologist | 4131 Nw 28th Ln Ste 3a, Gainesville, FL 32606-6665 | 2012-07-06 |
| 1295988244 | Sally A Moore | Psychologist | 1200 5th Ave Ste 800, Seattle, WA 98101-3136 | 2008-11-03 |
| 1083876569 | Sally Beth Moore | Social Worker | 30 Cumberland St, Woonsocket, RI 02895-3341 | 2008-06-26 |
| 1457486250 | Sally Roberts Moore | Counselor | 100 Columbia St, Orlando, FL 32806-1006 | 2007-02-22 |
| 1518044734 | Sally Ruth Moore | Psychologist | 430 Oak Grove St, 302, Minneapolis, MN 55403-3253 | 2006-11-01 |
| 1154419075 | Sally Anne Moore | Pharmacist | 8010 Parkway Dr, La Mesa, CA 91942-2104 | 2006-10-10 |
| 1942243944 | Sally J Moore | Physician Assistant | 2490 Oka St, Kilauea, HI 96754-5332 | 2006-06-14 |
| Street Address |
10040 COUNTY ROAD 48 |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346441888 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 10040 County Road 48, Fairhope, AL 36532-4520 | 2007-05-31 |
| 1992284293 | Haley Basford | Physician Assistant | 10040 County Road 48, Fairhope, AL 36532-4520 | 2018-08-08 |
| 1174052286 | Margaret Chambers | Pharmacist | 10040 County Road 48, Fairhope, AL 36532-4520 | 2017-06-12 |
| 1790214906 | Ben W. Creel Iv | Pharmacist | 10040 County Road 48, Fairhope, AL 36532-4520 | 2017-06-09 |
| 1578017646 | Laura Weekley | Pharmacist | 10040 County Road 48, Fairhope, AL 36532-4520 | 2016-08-06 |
| 1326315193 | American Family Care, Inc. | General Practice | 10040 County Road 48, Ste. A, Fairhope, AL 36532-4520 | 2011-11-22 |
| 1104108398 | Starfish Fairhope | Dentist | 10040 County Road 48, Fairhope, AL 36532 | 2011-09-13 |
| 1205032125 | Wal-mart Stores East, Lp | Technician/Technologist | 10040 County Road 48, 251 990 9006, Fairhope, AL 36532-4520 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306893771 | Debra Ann Langham | Nurse Practitioner | 750 Morphy Avenue, Fairhope, AL 36533 | 2006-05-30 |
| 1245249358 | Julia Redditt Summerlin | Marriage & Family Therapist | 50 South Greeno Rd, Fairhope, AL 36533-0414 | 2006-08-07 |
| 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 |
|---|---|---|---|---|
| 1396884227 | Bay Eyes Cataract and Laser Center, Inc. | Optometrist | 411 N. Section St., Fairhope, AL 36532-2649 | 2007-02-06 |
| 1932294386 | Eastern Shore Eye Care, PC | Optometrist | 118 Lottie Ln, Fairhope, AL 36532-2995 | 2006-10-03 |
| 1942393277 | J. Gregory Reasons | Optometrist | 213 Manor Blvd, Fairhope, AL 36532-3649 | 2006-09-30 |
| 1699115477 | Angela Cherniak | Optometrist | 411 North Section Street, Fairhope, AL 36532 | 2013-06-26 |
| 1245516368 | Fairhope Eye and Laser Center, LLC | Optometrist | 7540 Cipriano Ct, Suite B, Fairhope, AL 36532-3029 | 2011-11-03 |
| 1295021210 | Stephanie Leann Montgomery | Optometrist | 118 Lottie Ln, Fairhope, AL 36532-2995 | 2011-06-28 |
| 1407142086 | Ayesha Kidd | Optometrist | 411 North Section Street, Fairhope, AL 36532 | 2011-06-22 |
| 1215130919 | J Gregory Reasons PC | Optometrist | 213 Manor Blvd, Fairhope, AL 36532-3649 | 2007-06-08 |
| 1114013166 | Duane Michael Schrock | Optometrist | 118 Lottie Ln, Fairhope, AL 36532-2995 | 2006-10-05 |
| 1386615961 | James Daniel Wilder IIi | Optometrist | 411 N Section St, Fairhope, AL 36532-2634 | 2006-01-31 |
| Find all providers in FAIRHOPE | ||||
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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.