DR. MARK D MOORE OD
NPI 1043328800
Optometrist in Douglas, GA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
504 PETERSON AVE S, DOUGLAS, GA 31533(912) 389-1230(912) 389-1260 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark D Moore Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK D MOORE OD (NPI 1043328800) is an individual optometrist in Douglas, Georgia, licensed in Georgia (OPT001723) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1043328800
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK D MOORECredential: OD
Location Address504 PETERSON AVE SDouglas, GA 31533-5254
Mailing Address504 Peterson Ave SDouglas, GA 31533-5254 · (912) 389-1230 · Fax (912) 389-1260
Fax(912) 389-1260
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 20, 2015
NPI 1043328800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in GA · OPT001723
Definition
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.
504 PETERSON AVE S, Douglas, GA 31533

Other Identifiers 3

OtherGRP7442GA · Medicare Ptan
Medicaid457498953DGA
Medicare UPINU73831GA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark D Moore Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092740498
PECOS Enrollment IDI20051005000208
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
504 PETERSON AVE S
DOUGLAS, GA 31533
Optometrist
504 PETERSON AVE S
DOUGLAS, GA 31533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Moore's NPI number?

The NPI number for Mark Moore is 1043328800. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Mark Moore located?

Mark Moore practices at 504 Peterson Ave S, Douglas, GA 31533. The listed phone number is (912) 389-1230.

What is Mark Moore's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mark Moore enrolled in Medicare?

Yes. Mark Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Moore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mark Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Moore was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.