TIMOTHY GLEN MOORE O.D.
NPI 1083672190
Optometrist in Tallahassee, FL

Q: What is Timothy Moore's NPI number?

The NPI number for Timothy Moore is 1083672190. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Timothy Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Moore was last updated on May 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2006PECOS Enrolled

1491 GOVERNORS SQUARE BLVD, TALLAHASSEE, FL 32301(850) 383-3322 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2021, Mar 11, 2021, Oct 10, 2019 (3 updates tracked since 2019).

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About Timothy Glen Moore O.d. NPPES

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

TIMOTHY GLEN MOORE O.D. (NPI 1083672190) is an individual optometrist in Tallahassee, Florida, licensed in Florida (OPC 1490) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083672190

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTIMOTHY GLEN MOORECredential: O.D.

Location Address1491 GOVERNORS SQUARE BLVDTallahassee, FL 32301-3049

Mailing AddressPo Box 15349Tallahassee, FL 32317-5349 · (850) 383-3322

Phone(850) 383-3322

Sole ProprietorNo

Enumeration DateMay 1, 2006

Last NPPES UpdateMay 20, 20213 updates tracked since enumeration

NPPES CertifiedMay 20, 2021

✔ NPI 1083672190 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 FL · OPC 1490

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.

1491 GOVERNORS SQUARE BLVD, Tallahassee, FL 32301

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Glen Moore O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32301 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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