Sandra Marie Moore (NPI# 1467491274, PAC ID# 1355246059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1467491274 |
| PAC ID by PECOS | 1355246059 |
| Professional Enrollment ID | I20031205000075 |
| Full Name | Sandra Marie Moore |
| Organization Legal Name | EYE OPTIONS COTTMAN INC |
| Address |
2139 Cottman Ave Philadelphia PA 19149-1122 |
| Phone Number | 2157451444 |
| Gender | F |
| Credential | OD |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1992 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4183529951 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2139 Cottman Ave, Philadelphia, PA 19149-1122 | 2157451444 | EYE OPTIONS COTTMAN INC |
| Organization Legal Name | EYE OPTIONS COTTMAN INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine M Weldon | Optometry | Eye Options Cottman Inc | 2139 Cottman Ave, Philadelphia, PA 19149-1122 |
| Street Address |
2139 COTTMAN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19149-1122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine M Weldon | Optometry | Eye Options Cottman Inc | 2139 Cottman Ave, Philadelphia, PA 19149-1122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marissa Anne Soisson | Optometry | Gretchen J Brewer Od and Associates Inc | 2329 Cottman Ave Rsvlt Mal, Philadelphia, PA 19149-1003 |
| Dayna R Luckey | Optometry | Gretchen J Brewer Od and Associates Inc | 2329 Cottman Ave, Philadelphia, PA 19149-1003 |
| Georgietta Gdovin | Optometry | Gretchen J Brewer Od and Associates Inc | 2329 Cottman Ave, Philadelphia, PA 19149-1003 |
| Leanne Laporte | Optometry | Gretchen J Brewer Od and Associates Inc | 2329 Cottman Ave, Philadelphia, PA 19149-1003 |
| Ronald Gruzin | Internal Medicine | Geoffrey W Temple Family Medical Associates PC | 2835 Tyson Ave, Philadelphia, PA 19149-1415 |
| Geoffrey W Temple | Family Medicine | Geoffrey W Temple Family Medical Associates PC | 2835 Tyson Ave, Philadelphia, PA 19149-1415 |
| Matthew J Sundquist | Nurse Practitioner | Geoffrey W Temple Family Medical Associates PC | 2835 Tyson Ave, Philadelphia, PA 19149-1415 |
| David J Sevitski | Family Medicine | Dr. Michael F. Avallone Associates | 2813 Cottman Ave, Philadelphia, PA 19149-1421 |
| Maryanne Cardelli | Physical Therapy | Spinal Rehab Network Inc | 2813 Cottman Ave, Philadelphia, PA 19149-1421 |
| Denise Marie Webb | Podiatry | 2813 Cottman Ave, Philadelphia, PA 19149-1421 | |
| Find all physicians in zip 19149 | |||
| City | PHILADELPHIA |
| Zip Code | 19149 |
| Specialty | OPTOMETRY |
| City + Specialty | PHILADELPHIA + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.