TIMOTHY D MOORE OD PC
NPI 1508999145
Optometrist in Stroud, OK
About Timothy D Moore Od Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY D MOORE OD PC (NPI 1508999145) is a healthcare organization registered as an optometrist in Stroud, Oklahoma and active in the NPI registry since March 2007. The organization lists Timothy Dean Moore, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy D Moore Od Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Timothy D Moore Od PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Timothy D Moore Od PC's NPI number?
The NPI number for Timothy D Moore Od PC is 1508999145. It was assigned to this organization in the NPPES registry on March 13, 2007.
Where is Timothy D Moore Od PC located?
Timothy D Moore Od PC is located at 109 W Main St, Stroud, OK 74079. The listed phone number is (918) 968-3422.
What is Timothy D Moore Od PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Timothy D Moore Od PC enrolled in Medicare?
Yes. Timothy D Moore Od PC is registered in the Medicare PECOS enrollment system.
When is Timothy D Moore Od PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Timothy D Moore Od PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Timothy D Moore Od PC. 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 Timothy D Moore Od PC 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 Timothy D Moore Od PC 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 Timothy D Moore Od PC was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Timothy D Moore Od Pc · NPI 1508999145
Optometrist organization in Stroud, Oklahoma. Organization record, active in the CMS NPPES registry since March 13, 2007.
## Identity
- **NPI:** 1508999145 (Entity type: Organization)
- **Enumerated:** March 13, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Moore, PRESIDENT
## Practice location
- **Address:** 109 W MAIN ST, Stroud, OK 74079-3607
- **Phone:** (918) 968-3422 · **Fax:** (918) 968-4829
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2008
- **Other identifiers:** Medicare NSC 0470860001
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Source: [NPI Profile](https://npiprofile.com/npi/1508999145) · Data from the CMS NPPES public registry.