MICHAEL D MOORE


Address: 2600 Martin Way E, Ste C, Olympia, WA 98506-4974
Phone: 3603577899

MICHAEL D MOORE (NPI# 1770560708) 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) 1770560708
Entity Type Individual
Full Name MICHAEL D MOORE
Credential OD
Practice Address 2600 Martin Way E
Ste C
Olympia
WA 98506-4974
Practice Telephone 3603577899
Practice Fax Number 3603576495
Mailing Telephone 3603577899
Mailing Fax Number 3603576495
Enumeration Date 2005-12-30
Last Update Date 2008-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 1010 WA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1326213992 01
WA 2631703 05
WA L & I 0149388 01
DEA MM1253765 01

Other Providers MICHAEL MOORE

NPI Name Taxonomy Address Enumeration
1972115582 Michael Shane Moore Physical Medicine & Rehabilitation 2757 Vandy Ct, Montgomery, AL 36110-1339 2020-08-17
1225659519 Michael Thomas Moore Counselor 920 Belview St. Se, Washington, DC 20032 2020-04-28
1508327537 Michael D Moore Nurse Practitioner 1012 Center Dr, Richmond, KY 40475-3838 2019-03-31
1407393846 Michael Charles Moore Counselor 2123 W 77th St, Los Angeles, CA 90047-2312 2017-01-24
1356884852 Michael Lemuel Moore II Counselor 665 Rotunda Way, Brentwood, CA 94513-5534 2016-12-01
1154778355 Michael Moore Pharmacist 10604 Hinderhill Dr, Bakersfield, CA 93312-7038 2016-05-17
1750747564 Michael Moore Developmental Therapist 220 Pebble Creek Rd, Powell, WY 82435-2271 2016-01-08
1285007757 Michael Moore Counselor 1113 Greenwood Ave, Waukegan, IL 60085 2015-11-05
1558742734 Michael B Moore Nurse Practitioner 3040 College St, Beaumont, TX 77701-4606 2015-06-14
1033517578 Michael D. Moore Hearing Instrument Specialist 11834 County Road 101, Suite 202, The Villages, FL 32162 2014-12-16

Office Location

Street Address 2600 MARTIN WAY E
STE C
City OLYMPIA
State WA
Zip Code 98506-4974

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972911311 Bobbi Jo Epperson Acupuncturist 2600 Martin Way E, Olympia, WA 98506-4974 2014-07-29
1326213992 Michael D Moore Od Ps Inc Optometrist 2600 Martin Way E, Ste C, Olympia, WA 98506-4974 2008-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477185460 Chloe Harper Technician, Other 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 2020-02-07
1912543539 Jessica Marie Radakovich Licensed Practical Nurse 3426 Mary Elder Rd, Olympia, WA 98506 2019-11-19
1669014973 Arlene Josephine Adams Registered Nurse 413 Lily Rd Ne, Olympia, WA 98506 2019-10-09
1861999120 Debra Delores Barker Licensed Practical Nurse 3710 South Bay Rd Ne, Olympia, WA 98506 2018-04-12
1801304431 Michelle Warner Nurse Practitioner 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 2018-01-17
1396258364 Institute for Family Development Community/Behavioral Health 204 Quince St. Ne, Suite 200, Olympia, WA 98506 2017-11-13
1083137715 Cameron Kunkel Specialist/Technologist 2512 20th Ave Ne, Olympia, WA 98506 2017-07-25
1184144768 Trevor Shane Kwan Family Medicine 525 Lilly Road Ne, Olympia, WA 98506 2017-06-23
1073043212 Michael H Harburg Behavior Technician 3857 Martin Way Ne, Olympia, WA 98506 2017-06-19
1780114371 Priscilla Kangyang Jadu Counselor 3857 Martin Way E., Olympia, WA 98506 2017-06-15
Find all providers in zip 98506

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649571118 Brian Paul Finley Optometrist 3612 Wesley Dr Nw, Olympia, WA 98502-3746 2010-11-15
1386836591 Van B. Ly Optometrist 319 7th Ave Se, Suite #101, Olympia, WA 98501-1325 2007-08-11
1811015688 Richard Duane Hehn Optometrist 651 Sleater Kinney Se, Suite 1300, Olympia, WA 98503 2007-03-27
1205961836 Kornmesser Optometry Clinic Inc Ps Optometrist 1405 Harrison Ave Nw Ste 101, Olympia, WA 98502-5327 2007-02-23
1881754182 Dr. Kimberly Carr-yeates, O.d., P.s. Optometrist 625 Black Lake Blvd Sw Ste 369, Olympia, WA 98502-8606 2006-12-11
1275609463 Ben Harold Wong Jr. Optometrist 1940 Black Lake Blvd Sw, Olympia, WA 98512-5651 2006-11-28
1851402085 Kenneth Douglas Common Optometrist 625 Black Lake Blvd Sw, Suite #110, Olympia, WA 98502-5066 2006-08-31
1407963770 Reid I Mamiya Optometrist 115 New View Ct Ne, Olympia, WA 98506-5250 2006-08-24
1508894007 Susan M Dini Optometrist 2939 Benjamin Ct Se, Olympia, WA 98501-4807 2006-06-30
1114903937 Kimberly A Carr-yeates Optometrist 1510 Cooper Point Rd Sw, Ste 110, Olympia, WA 98502-5734 2005-12-22
Find all providers in OLYMPIA

Competitor

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City OLYMPIA
Zip Code 98506

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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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