DR. MARK DOUGLAS MOORE O. D.
NPI 1346338530
Optometrist in Wichita, KS

Q: What is Mark Moore's NPI number?

The NPI number for Mark Moore is 1346338530. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Mark 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 Mark Moore was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 11, 2006PECOS Enrolled

2020 N TYLER RD STE 124, WICHITA, KS 67212(316) 729-0083(316) 729-0052 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Mark Douglas Moore O. D. NPPES

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

DR. MARK DOUGLAS MOORE O. D. (NPI 1346338530) is an individual optometrist in Wichita, Kansas, licensed in Kansas (1367) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346338530

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARK DOUGLAS MOORECredential: O. D.

Location Address2020 N TYLER RD STE 124Wichita, KS 67212-4916

Mailing Address2020 N Tyler Rd Ste 124Wichita, KS 67212-4916 · (316) 729-0083 · Fax (316) 729-0052

Phone(316) 729-0083

Fax(316) 729-0052

Sole ProprietorYes

Enumeration DateOctober 11, 2006

Last NPPES UpdateMarch 8, 2012

✔ NPI 1346338530 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 KS · 1367

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.

2020 N TYLER RD STE 124, Wichita, KS 67212

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Other Identifiers 6

Other049695KS · Bcbsks

Medicare ID-Type Unspecified018096MOKS

Other018096KS · Bcbsks

Medicare ID-Type Unspecified049695MOKS

Other2531KS · Phs/ppk

Medicare UPINU24029

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Douglas 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 67212 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

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 1346338530. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Mark Moore located?

Mark Moore practices at 2020 N Tyler Rd Ste 124, Wichita, KS 67212. The listed phone number is (316) 729-0083.

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 enrollment system.

What insurance does Mark Moore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers 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 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.