STEPHANIE QUESADA MOORE OD PA
NPI 1083277347
Optometrist in Panama City, FL

Active since April 22, 2019
2638 JENKS AVE, PANAMA CITY, FL 32405(850) 215-2020 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephanie Quesada Moore Od Pa NPPES

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

STEPHANIE QUESADA MOORE OD PA (NPI 1083277347) is a healthcare organization registered as an optometrist in Panama City, Florida and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Panama City and lists Stephanie Quesada Moore, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1083277347
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSTEPHANIE QUESADA MOORE OD PA
Location Address2638 JENKS AVEPanama City, FL 32405-4387
Mailing Address2638 Jenks AvePanama City, FL 32405-4387 · (850) 215-2020
Organization SubpartNo
Authorized OfficialStephanie Quesada MooreOwner/provider · (850) 215-2020
Enumeration DateApril 22, 2019
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedNovember 6, 2023
✔ NPI 1083277347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
2638 JENKS AVE, Panama City, FL 32405

Secondary Practice Location 1

Location 1426 W 23rd StPanama City, FL 32405-4508 · Phone (850) 866-8472

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Quesada Moore Od Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Stephanie Quesada Moore Od PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1215385364
2638 JENKS AVE
Panama City, FL 32405
(850) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1851369367
357 BUNKERS COVE RD
Panama City, FL 32401
(850) 215-7255
✔ PECOS✔ Accepts Medicare4.1 mi
Optometry
NPI 1275116980
5533 SW 64TH ST
Gainesville, FL 32608
(352) 271-5967
✔ PECOS✔ Accepts Medicare199 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stephanie Quesada Moore Od PA's NPI number?

The NPI number for Stephanie Quesada Moore Od PA is 1083277347. It was assigned to this organization in the NPPES registry on April 22, 2019.

Where is Stephanie Quesada Moore Od PA located?

Stephanie Quesada Moore Od PA is located at 2638 Jenks Ave, Panama City, FL 32405. The listed phone number is (850) 215-2020.

What is Stephanie Quesada Moore Od PA's specialty?

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

Is Stephanie Quesada Moore Od PA enrolled in Medicare?

Yes. Stephanie Quesada Moore Od PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephanie Quesada Moore Od PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Stephanie Quesada Moore Od PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stephanie Quesada Moore Od PA accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, Molina Healthcare and Oscar Health Maintenance Organization of Florida list Stephanie Quesada Moore Od PA 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 Stephanie Quesada Moore Od PA was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.