DR. JASON WINTHROP MOORE O.D.
NPI 1437177813
Optometrist in Rochester, NY

Q: What is Jason Moore's NPI number?

The NPI number for Jason Moore is 1437177813. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Jason 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 Jason Moore was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 17, 2006PECOS Enrolled

2672 W RIDGE RD, ROCHESTER, NY 14626(585) 245-0471(585) 227-6963 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jason Winthrop Moore O.d. NPPES

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

DR. JASON WINTHROP MOORE O.D. (NPI 1437177813) is an individual optometrist in Rochester, New York, licensed in New York (TUV006526) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437177813

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JASON WINTHROP MOORECredential: O.D.

Location Address2672 W RIDGE RDRochester, NY 14626-3054

Mailing Address2672 W Ridge RdRochester, NY 14626-3054 · (585) 245-0471 · Fax (585) 227-6963

Phone(585) 245-0471

Fax(585) 227-6963

Sole ProprietorYes

Enumeration DateJuly 17, 2006

Last NPPES UpdateAugust 4, 2022

NPPES CertifiedAugust 4, 2022

✔ NPI 1437177813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in NY · TUV006526✔ Licensed in NY · VUT006526-1

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License VUT006526-1 (NY)

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License VUT006526-1 (NY)

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License VUT006526-1 (NY)

2672 W RIDGE RD, Rochester, NY 14626

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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 Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Winthrop 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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Vision Center LLC

Same address

Optometrist

2672 W RIDGE RD
Rochester, NY 14626

Reassigned Medicare billing, New York enrollment

NPI 1891422382 (585) 245-0471

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA NICOTERA

Technician/Technologist (Optician)

2672 W RIDGE RD
GREECE, NY 14626

Monroe County (585) 245-0471

LEGACY VISION CENTER LLC

Optometrist

2672 W RIDGE RD
ROCHESTER, NY 14626

Monroe County (585) 245-0471

MINNIE L BREEDLOVE

Local Education Agency (LEA)

2672 W RIDGE RD
ROCHESTER, NY 14626

Monroe County (585) 478-1159

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 Jason Moore's NPI number?

The NPI number for Jason Moore is 1437177813. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Jason Moore located?

Jason Moore practices at 2672 W Ridge Rd, Rochester, NY 14626. The listed phone number is (585) 245-0471.

What is Jason Moore's specialty?

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

Is Jason Moore enrolled in Medicare?

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

Which organization bills Medicare for Jason Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Moore reassigns Medicare benefits to Legacy Vision Center LLC (Rochester, NY). The 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 Jason Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Moore accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Jason 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 Jason Moore was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.