Charlie J Moore (NPI# 1003868670, PAC ID# 4082618350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1003868670 |
| PAC ID by PECOS | 4082618350 |
| Professional Enrollment ID | I20060830000157 |
| Full Name | Charlie J Moore |
| Address |
3635 S Soncy Rd Amarillo TX 79119-6402 |
| Phone Number | 8063566868 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3635 S Soncy Rd, Amarillo, TX 79119-6402 | 8063566868 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
3635 S SONCY RD |
| City | AMARILLO |
| State | TX |
| Zip | 79119-6402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart R Berry | Optometry | 3635 S Soncy Rd, Amarillo, TX 79119-6402 | |
| Leslie Sciumbato | Optometry | 3635 S Soncy Rd, Amarillo, TX 79119-6402 | |
| John Todd Purvis Cornett | Optometry | 3635 S Soncy Rd, Amarillo, TX 79119-6402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack C Gladman | Optometry | 3635 S Soncy, Amarillo, TX 79119 | |
| Kaci R Roach | Chiropractic | Regenerative Medicine Center of Texas Pllc | 3501 S Soncy Rd, Suite 1001, Amarillo, TX 79119-4932 |
| Brian James Haseloff | Pain Management | Fmc Medical Foundation Inc | 3501 S Soncy Rd, Suite 1002, Amarillo, TX 79119-4932 |
| Keith E Dyer | Physical Medicine and Rehabilitation | Regenerative Medicine Center of Texas Pllc | 3501 S Soncy Rd, Suite 1001, Amarillo, TX 79119-4932 |
| Amanda L Sappington | Optometry | 4612 S Coulter St, Amarillo, TX 79119-6403 | |
| Michael Vennell | Chiropractic | 3501 Soncy St, Suite 1, Amarillo, TX 79119-6405 | |
| Christine Oconnor | Optometry | 3501 Soncy Rd, Suite 100, Amarillo, TX 79119-6405 | |
| Lisa Kay Boyd | Certified Registered Nurse Anesthetist (crna) | Independent Physicians Network Pllc | 3501 S Soncy Rd, 118 Northwest Texas Surgery Center, Amarillo, TX 79119-6405 |
| William Parker Sharp | Certified Registered Nurse Anesthetist (crna) | Independent Physicians Network Pllc | 3501 S Soncy Rd, 118 Northwest Texas Surgery Center, Amarillo, TX 79119-6405 |
| Alberto C Cura | Anesthesiology | 3501 S Soncy Rd, Suite 118, Amarillo, TX 79119-6405 | |
| Find all physicians in zip 79119 | |||
| City | AMARILLO |
| Zip Code | 79119 |
| Specialty | OPTOMETRY |
| City + Specialty | AMARILLO + OPTOMETRY |
Please comment or provide details below to improve the information on Charlie J Moore.
| 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.