DR. NICHOLAS MOORE (NPI# 1770978645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770978645 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS MOORE |
| Credential | MD |
| Practice Address |
1462 Marion Waldo Rd Marion OH 43302 |
| Mailing Address |
1462 Marion Waldo Rd Marion OH 43302-7422 |
| Practice Telephone | 7403895418 |
| Practice Fax Number | 7403895410 |
| Mailing Telephone | 7403895418 |
| Mailing Fax Number | 7403895410 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35.135378 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 241 Paddock Ct, Delaware, OH 430151317 | 7403621100 | 7403621911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042691 | Nicholas Antonio Moore | Pharmacist | 604 Cherry Dr, Fairview Heights, IL 62208-2846 | 2020-07-31 |
| 1073017679 | Nicholas M Moore | Spec/Tech, Pathology | 1653 W Congress Pkwy Ste 1173, Chicago, IL 60612-3833 | 2018-03-20 |
| 1265727556 | Nicholas Jay Moore | Family Medicine | 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 | 2011-06-14 |
| 1417905092 | Nicholas J.e. Moore | Radiology | 1390 Kelly Johnson Blvd, Colorado Springs, CO 80920-3908 | 2006-05-05 |
| 1093339491 | Nicholas Simms Moore | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5491 | 2020-06-01 |
| 1396372868 | Nicholas Lawrence Moore | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-25 |
| 1013550383 | Nicholas Moore | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2019-10-19 |
| 1336795509 | Nicholas M Moore | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2019-08-14 |
| 1225695703 | Nicholas Jay Moore | Dentist | 440 E Tampa St, Springfield, MO 65806-1131 | 2019-05-21 |
| 1467017343 | Nicholas Maximilian Moore | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2019-05-06 |
| Street Address |
1462 MARION WALDO RD |
| City | MARION |
| State | OH |
| Zip Code | 43302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701118 | Deanna Jende Stevens | Ophthalmology | 1462 Marion Waldo Rd, Marion, OH 43302-7422 | 2006-02-28 |
| 1275792541 | Marion Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 1462 Marion Waldo Rd, Marion, OH 43302-7422 | 2008-06-03 |
| 1811004690 | James Edward Ridge | Optometrist | 1462 Marion Waldo Rd, Marion, OH 43302-7422 | 2006-08-25 |
| 1518933571 | Steven Michael Kirkham | Ophthalmology | 1462 Marion Waldo Rd, Marion, OH 43302-7422 | 2006-02-28 |
| 1780650754 | Filmore Alteros Riego | Ophthalmology | 1462 Marion Waldo Rd, Marion, OH 43302-7422 | 2006-02-28 |
| 1811963887 | Lance Richard Levitsky | Ophthalmology | 1462 Marion Waldo Rd, Marion, OH 43302-7422 | 2006-02-28 |
| 1255307237 | Marion Eye Center, Inc | Ophthalmology | 1462 Marion Waldo Rd, Marion, OH 43302-7422 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417119488 | Michael Alan Morris | Ophthalmology | 8341 Express Dr Ste C, Marion, IL 62959-6476 | 2008-06-30 |
| 1205952249 | Omar Rizwan Ahmad | Ophthalmology | 1200 W Deyoung, Marion, IL 62959 | 2007-03-21 |
| 1528020401 | Eye Specialist of Southern Illinois, LLC | Ophthalmology | 1000 W Deyoung St, Marion, IL 62959-1630 | 2006-04-05 |
| 1295701118 | Deanna Jende Stevens | Ophthalmology | 1462 Marion Waldo Rd, Marion, OH 43302-7422 | 2006-02-28 |
| 1336137751 | Stokes Regional Eye Center | Ophthalmology | 3032 E Highway 76, Marion, SC 29571 | 2005-10-10 |
| 1740384189 | Irene Fedorovich | Ophthalmology | 2401 W Main St, Marion, IL 62959-1188 | 2006-09-07 |
| 1700823010 | John Charles Garvin | Ophthalmology | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-06-02 |
| 1053369207 | Gary D Burton | Ophthalmology | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-05-04 |
| 1104889716 | Midwest Eye Consultants, P.C. | Ophthalmology | 1800 N Wabash Rd, Suite 100, Marion, IN 46952-1300 | 2006-04-07 |
| 1518933571 | Steven Michael Kirkham | Ophthalmology | 1462 Marion Waldo Rd, Marion, OH 43302-7422 | 2006-02-28 |
| Find all providers in MARION | ||||
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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.