MOORE FAMILY EYECARE PLLC
NPI 1134940505
Optometrist in Saint Paul, MN

Q: What is Moore Family Eyecare PLLC's NPI number?

The NPI number for Moore Family Eyecare PLLC is 1134940505. It was assigned to this organization in the NPPES registry on October 18, 2024.

Q: What is Moore Family Eyecare PLLC's specialty?

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

Active since October 18, 2024

1515 COUNTY ROAD B W, SAINT PAUL, MN 55113(231) 645-0593(612) 486-7789 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Moore Family Eyecare Pllc NPPES

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

MOORE FAMILY EYECARE PLLC (NPI 1134940505) is a healthcare organization registered as an optometrist in Saint Paul, Minnesota and active in the NPI registry since October 2024. The organization lists Jack Moore, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1134940505

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMOORE FAMILY EYECARE PLLC

Location Address1515 COUNTY ROAD B WSaint Paul, MN 55113-6005

Mailing Address1515 County Road B WSaint Paul, MN 55113-6005 · (231) 645-0593 · Fax (612) 486-7789

Phone(231) 645-0593

Fax(612) 486-7789

Organization SubpartNo

Authorized OfficialJack MooreAuthorized Official · (231) 645-0593

Enumeration DateOctober 18, 2024

NPPES CertifiedOctober 18, 2024

✔ NPI 1134940505 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.

1515 COUNTY ROAD B W, Saint Paul, MN 55113

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Moore Family Eyecare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Moore Family Eyecare PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jack Moore, OD

Optometry

NPI 1891063236

3700 MARTIN WAY E #101
Olympia, WA 98506

(360) 456-2020

✔ PECOS✔ Accepts Medicare1,426 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 Moore Family Eyecare PLLC's NPI number?

The NPI number for Moore Family Eyecare PLLC is 1134940505. It was assigned to this organization in the NPPES registry on October 18, 2024.

Where is Moore Family Eyecare PLLC located?

Moore Family Eyecare PLLC is located at 1515 County Road B W, Saint Paul, MN 55113. The listed phone number is (231) 645-0593.

What is Moore Family Eyecare PLLC's specialty?

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

Is Moore Family Eyecare PLLC enrolled in Medicare?

Yes. Moore Family Eyecare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moore Family Eyecare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Moore Family Eyecare PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Moore Family Eyecare PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Moore Family Eyecare PLLC 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 Moore Family Eyecare PLLC was last updated on October 18, 2024. 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.