Timothy D Moore (NPI# 1417935008, PAC ID# 7012014954) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1417935008 |
| PAC ID by PECOS | 7012014954 |
| Professional Enrollment ID | I20070529000505 |
| Full Name | Timothy D Moore |
| Address |
109 W Main St Stroud OK 74079-3607 |
| Gender | M |
| Credential | OD |
| Graduation Year | 1975 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 109 W Main St, Stroud, OK 74079-3607 |
| Street Address |
109 W MAIN ST |
| City | STROUD |
| State | OK |
| Zip | 74079-3607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Marie Farney | Psychologist, Clinical | 109 W Main St, Medway, OH 45341-1109 | |
| Noah Gill Jarvie | Chiropractic | 109 W Main St, Suite 2, Rogue River, OR 97537-9611 | |
| Kenneth S Stopa | Chiropractic | 109 W Main St, Main Street Family Chiropractic, Northville, MI 48167-1520 | |
| Rick D Bauer | Optometry | 109 W Main St, Loogootee, IN 47553-1506 | |
| Jennifer Lynn Whitman | Chiropractic | 109 W Main St, Dewitt, MI 48820-8946 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra K Dimmitt | Family Medicine | Main Street Family Healthcare Nurse Practitioner Clinic LLC | 309 W Main St, Stroud, OK 74079-3611 |
| Bronwyn L Howard | Nurse Practitioner | Main Street Family Healthcare Nurse Practitioner Clinic LLC | 309 W Main St, Stroud, OK 74079-3611 |
| Joshua L Nooner | Registered Dietitian Or Nutrition Professional | Sac and Fox Nation | 356110 E 930 Rd, Stroud, OK 74079-5184 |
| Tyler A Rolette | Physical Therapy | Sac and Fox Nation | 356110 E 930 Rd, Stroud, OK 74079-5184 |
| Gregory B Dunlevy | Physical Therapy | Sac and Fox Nation | 356110 E 930 Rd, Stroud, OK 74079-5184 |
| Tammy Sue Hobbie | Physician Assistant | Sac and Fox Nation | 356110 E 930 Rd, Stroud, OK 74079-5184 |
| Zachary Martin | Emergency Medicine | Sac and Fox Nation | 356110 E 930 Rd, Stroud, OK 74079-5184 |
| Jayne Deanne Fortenberry | Nurse Practitioner | Sac and Fox Nation | 356110 E 930 Rd, Stroud, OK 74079-5184 |
| Narendar K Jain | Family Medicine | Sac and Fox Nation | 356110 E 930 Rd, Stroud, OK 74079-5184 |
| Debra K Mee | Psychiatry | Sac and Fox Nation | 356110 E 930 Rd, Stroud, OK 74079-5184 |
| Find all physicians in zip 74079 | |||
| City | STROUD |
| Zip Code | 74079 |
| Specialty | OPTOMETRY |
| City + Specialty | STROUD + OPTOMETRY |
Please comment or provide details below to improve the information on Timothy D 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.