DR. DAVID NEIL MOORE (NPI# 1780672279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780672279 |
| Entity Type | Individual |
| Full Name | DR. DAVID NEIL MOORE |
| Credential | O.D. |
| Practice Address |
2235 Ridgemoor Ct Burton MI 48509-1391 |
| Practice Telephone | 8107428618 |
| Practice Fax Number | 8105151219 |
| Mailing Telephone | 8107428618 |
| Mailing Fax Number | 8105151219 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2009-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002864 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DEA # | 5330000384 | 01 |
| MI | 0983566 | 05 | |
| MI | BCBS | 900B550570 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975979 | David Brent Moore | Speech-Language Pathologist | 2201 W Iowa Ave Ste 5, Chickasha, OK 73018-2732 | 2019-04-25 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1609221209 | David Christopher Moore | Anesthesiology | 75 Francis St # Cw-l1, Boston, MA 02115-6110 | 2016-05-02 |
| 1114389780 | David Jan Moore | Emergency Medicine | 6015 Tyndall Ave, Bronx, NY 10471-1812 | 2016-03-23 |
| 1679915060 | David E Moore | Dentist | 11 N 11th Ave Ste 107, Yakima, WA 98902-3085 | 2013-07-25 |
| 1346503349 | David Moore | Family Medicine | 6282 Edgecreek Ln, Columbus, OH 43231-7645 | 2012-06-25 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1821357468 | David John Moore | Acupuncturist | 1210 Lehigh St, Boulder, CO 80305-6352 | 2012-05-15 |
| 1922306760 | David Jonathan Moore | Specialist/Technologist, Other | 674 Mesa Ct, Rifle, CO 81650-2529 | 2011-03-02 |
| 1497989933 | David B Moore | Registered Nurse | 4801 College Blvd., Leawood, KS 66211-1628 | 2009-05-13 |
| Street Address |
2235 RIDGEMOOR CT |
| City | BURTON |
| State | MI |
| Zip Code | 48509-1391 |
| 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 |
| 1003803990 | General Optical Company | Optometrist | 1235 S Center Rd, Suite 16, Burton, MI 48509-1700 | 2005-10-05 |
| 1609871870 | Carder Robert Burns | Optometrist | 3385 S Center Rd, Burton, MI 48519-1457 | 2005-06-15 |
| 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.