Robert A Moore (NPI# 1104892983, PAC ID# 4385691807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1104892983 |
| PAC ID by PECOS | 4385691807 |
| Professional Enrollment ID | I20050406000460 |
| Full Name | Robert A Moore |
| Organization Legal Name | GRENE VISION GROUP LLC |
| Address |
1400 W Central Ave El Dorado KS 67042-2201 |
| Phone Number | 3163202200 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1987 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1254324023 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1400 W Central Ave, El Dorado, KS 67042-2201 | 3163202200 | GRENE VISION GROUP LLC |
| Organization Legal Name | GRENE VISION GROUP LLC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Thaison Truong | Ophthalmology | Grene Vision Group LLC | 655 N Woodlawn St, Wichita, KS 67208-3648 |
| Jenna R Johnson | Optometry | Grene Vision Group LLC | 1708 E 23rd St, Hutchinson, KS 67502-1114 |
| Michele M Riggins | Ophthalmology | Grene Vision Group LLC | 1277 N Maize Rd, Grene Vision Group, Wichita, KS 67212-4302 |
| Jaryl D Ollenburger | Optometry | Grene Vision Group LLC | 1708 E 23rd Ave, Hutchinson, KS 67502-1199 |
| Donald B Scrafford | Ophthalmology | Grene Vision Group LLC | 3607 N Rigde Rd, Wichita, KS 67205-1214 |
| Kirby K Ray | Optometry | Grene Vision Group LLC | 611 N Main St, Neodesha, KS 66757-1632 |
| Anthony K Hartness | Optometry | Grene Vision Group LLC | 135 S Andover Rd, Andover, KS 67002-8037 |
| Steven P Miller | Optometry | Grene Vision Group LLC | 111 W, 1st, Lyons, KS 67554-1901 |
| Robin L Agpoon | Optometry | Grene Vision Group LLC | 1821 E Madison Ave, Suite 1600, Derby, KS 67037-2367 |
| Betty J Cantrell | Optometry | Grene Vision Group LLC | 1508 Madison St, Fredonia, KS 66736-1728 |
| Street Address |
1400 W CENTRAL AVE |
| City | EL DORADO |
| State | KS |
| Zip | 67042-2201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark L Wellemeyer | Ophthalmology | Grene Vision Group LLC | 1400 W Central Ave, El Dorado, KS 67042-2201 |
| Marcus S Randall | Optometry | Grene Vision Group LLC | 1400 W Central Ave, El Dorado, KS 67042-2201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry L Abraham | Podiatry | 321 N Main St, Eldorado, KS 67042-2021 | |
| Dawn M Gadberry | Clinical Social Worker | South Central Mental Health Counseling Center, Inc | 524 N Main St, El Dorado, KS 67042-2024 |
| Gregory P Joyce | Optometry | Drs Joyce and Hursh LLC | 201 N Vine St, El Dorado, KS 67042-2055 |
| Rosemarie A Wilson | Chiropractic | 215 N Vine St, El Dorado, KS 67042-2055 | |
| Amanda L Hursh | Optometry | Drs Joyce and Hursh LLC | 201 N Vine St, El Dorado, KS 67042-2055 |
| Jason P Brunton | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Henry R Kuhns Jr. | Internal Medicine | 720 W Central, El Dorado, KS 67042-2112 | |
| Brian J Hunt | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Med Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Allison Edwards | Emergency Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Kyle M Tipton | Internal Medicine | 720 W Central Ave, Susan B Allen Memorial Hospital, El Dorado, KS 67042-2112 | |
| Find all physicians in zip 67042 | |||
| City | EL DORADO |
| Zip Code | 67042 |
| Specialty | OPTOMETRY |
| City + Specialty | EL DORADO + 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.