TIFFANY LOUISE MOORE O.D.
NPI 1417200288
Optometrist in Santa Rosa, CA

Q: What is Tiffany Moore's NPI number?

The NPI number for Tiffany Moore is 1417200288. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Q: What is Tiffany 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 Tiffany Moore was last updated on June 10, 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.

Active since October 18, 2012PECOS Enrolled

800 4TH ST, SANTA ROSA, CA 95404(707) 542-1554 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tiffany Louise Moore O.d. NPPES

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

TIFFANY LOUISE MOORE O.D. (NPI 1417200288) is an individual optometrist in Santa Rosa, California, licensed in California (15230) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2015).

NPPES Registry Identity

NPI1417200288

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameTIFFANY LOUISE MOORECredential: O.D.

Location Address800 4TH STSanta Rosa, CA 95404-4505

Mailing Address2024 Montecito AveSanta Rosa, CA 95404

Phone(707) 542-1554

Sole ProprietorYes

Medical School CMSPacific University - College Of OptometryGraduated 2015

Enumeration DateOctober 18, 2012

Last NPPES UpdateJune 10, 2015

✔ NPI 1417200288 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 CA · 15230

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.

800 4TH ST, Santa Rosa, CA 95404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

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

PECOS PAC ID5991011736

PECOS Enrollment IDI20150825003687

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 3

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.

56 services55 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

29 services28 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 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

$142.00 typical visit price

range $63.04 – $187.01

Typical copayment $35.50 (range $15.76 – $46.75)

Most-billed visit code 99204

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

R. DAVID JONES, O.D.

Optometrist

800 4TH ST
SANTA ROSA, CA 95404

Sonoma County (707) 542-1554

TIFFANY MOORE, O.D. INC, A PROFESSIONAL OPTOMETRIC CORPORATION

Optometrist

800 4TH ST
SANTA ROSA, CA 95404

Sonoma County (707) 542-1554

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 Tiffany Moore's NPI number?

The NPI number for Tiffany Moore is 1417200288. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Where is Tiffany Moore located?

Tiffany Moore practices at 800 4th St, Santa Rosa, CA 95404. The listed phone number is (707) 542-1554.

What is Tiffany Moore's specialty?

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

Is Tiffany Moore enrolled in Medicare?

Yes. Tiffany Moore is registered in the Medicare PECOS enrollment system.

What insurance does Tiffany Moore accept?

Health plans from Providence Health Plan list Tiffany 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 Tiffany Moore was last updated on June 10, 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.