DR. SCOTT JAMES MOORE (NPI# 1730177122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730177122 |
| Entity Type | Individual |
| Full Name | DR. SCOTT JAMES MOORE |
| Credential | O.D. |
| Practice Address |
1235 S Center Rd Suite 16 Burton MI 48509-1700 |
| Practice Telephone | 8107441950 |
| Practice Fax Number | 8107441515 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2008-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004271 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316182678 | Scott Robert Moore | Massage Therapist | 565 S 250 E, Ivins, UT 84738-5010 | 2008-12-15 |
| 1497709513 | Scott Macleod Moore | Pediatrics | 13699 Old Us 12, Chelsea, MI 48118 | 2006-05-22 |
| 1780674358 | Scott Marshall Moore | Chiropractor | 1701 Shepherd Rd, Lakeland, FL 33811-2179 | 2005-10-25 |
| 1861490476 | Scott Garner Moore | Family Medicine | 174 Highway 113, Flomaton, AL 36441-4556 | 2005-07-08 |
| 1699249045 | Scott Moore | Social Worker | 14426 S Outer 40 Rd, Town and Country, MO 63017-5711 | 2019-01-18 |
| 1043683204 | Scott Moore | Pharmacist | 881 W Buchanan St, Prairie Grove, AR 72753-2880 | 2015-11-09 |
| 1619356961 | Scott Richard Moore | Internal Medicine | 1 Cooper Plz, Camden, NJ 08103-1461 | 2015-05-20 |
| 1932510351 | Scott Anthony Moore | Substance Abuse Rehabilitation Facility | 69 Arrowhead Loop, Canadian, OK 74425-5012 | 2014-05-20 |
| 1184062556 | Scott Emory Moore | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2013-06-07 |
| 1629363858 | Scott Moore | Pharmacist | 275 S River Rd, St George, UT 84790-2116 | 2011-06-15 |
| Street Address |
1235 S CENTER RD SUITE 16 |
| City | BURTON |
| State | MI |
| Zip Code | 48509-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003803990 | General Optical Company | Optometrist | 1235 S Center Rd, Suite 16, Burton, MI 48509-1700 | 2005-10-05 |
| 1104379452 | Christopher Kowalski | Optometrist | 1235 S Center Rd, Suite 16, Burton, MI 48509-1700 | 2016-08-03 |
| 1821541566 | Jennifer Anne Whalls | Physical Therapist | 1235 S Center Rd, Unit 12, Burton, MI 48509-1700 | 2016-07-29 |
| 1013390921 | Allison Ezell | Optometrist | 1235 S Center Rd, Suite 16, Burton, MI 48509-1700 | 2015-07-09 |
| 1386024479 | Nan Mary Witzgall | Physical Therapist | 1235 S Center Rd, Unit 12, Burton, MI 48509-1700 | 2015-06-03 |
| 1811399140 | Eric Anthony Lorincz | Physical Therapy Assistant | 1235 S Center Rd, Burton, MI 48509-1700 | 2014-09-18 |
| 1073826038 | Jeremy Joseph Flowers | Physical Therapy Assistant | 1235 S Center Rd, Unit 12, Burton, MI 48509-1700 | 2010-07-20 |
| 1568619989 | Jennifer Lynn Bailey | Physical Therapist | 1235 S Center Rd, Unit 12, Burton, MI 48509-1700 | 2008-08-27 |
| 1366569857 | Trina Leane Dewar | Occupational Therapist | 1235 S Center Rd, Burton, MI 48509-1700 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| 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 |
|---|---|---|---|---|
| 1003463944 | Jonathon David Connors | Optometrist | 1235 S Center Rd Ste 16, Burton, MI 48509-1700 | 2019-08-26 |
| 1902017007 | David H Bush | Optometrist | G3525 S Saginaw St, Burton, MI 48529-1260 | 2007-05-24 |
| 1982745824 | Loretta Niedzwiecki | Optometrist | 4190 E Court St, Ste 893, Burton, MI 48509-1736 | 2007-02-12 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| 1609975085 | Jeffrey C. Natchez | Optometrist | 4152 E Court St, Burton, MI 48509-1718 | 2006-09-21 |
| 1598874109 | Phillip C. Popham | Optometrist | G-4190 E. Court St., #877, Burton, MI 48509-1718 | 2006-08-29 |
| 1265482632 | Ross H Williams | Optometrist | 4067 E Court St, Suite 10, Burton, MI 48509-2509 | 2006-05-10 |
| 1306835640 | Sarah Ann Lee | Optometrist | 4165 E Court St, Burton, MI 48509-1717 | 2005-10-19 |
| 1780672279 | David Neil Moore | Optometrist | 2235 Ridgemoor Ct, Burton, MI 48509-1391 | 2005-10-10 |
| 1003803990 | General Optical Company | Optometrist | 1235 S Center Rd, Suite 16, Burton, MI 48509-1700 | 2005-10-05 |
| Find all providers in BURTON | ||||
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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.