JEFFREY M MOORE OD PA
NPI 1568537454
Optometrist in Pt Charlotte, FL

Q: What is Jeffrey M Moore Od PA's NPI number?

The NPI number for Jeffrey M Moore Od PA is 1568537454. It was assigned to this organization in the NPPES registry on November 24, 2006.

Q: What is Jeffrey M Moore Od PA's specialty?

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

Active since November 24, 2006

1444 TAMIAMI TRAIL, 481, PT CHARLOTTE, FL 33948(941) 255-0588 Get Directions Write a Review

NPPES record last updated: January 12, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jeffrey M Moore Od Pa NPPES

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

JEFFREY M MOORE OD PA (NPI 1568537454) is a healthcare organization registered as an optometrist in Pt Charlotte, Florida and active in the NPI registry since November 2006. The organization lists Jeffrey M Moore, Owner Optometrist, as its authorized official.

NPPES Registry Identity

NPI1568537454

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJEFFREY M MOORE OD PA

Location Address1444 TAMIAMI TRAIL, 481Pt Charlotte, FL 33948

Mailing Address5142 Sw 3rd AveCape Coral, FL 33914-7119 · (239) 549-2506

Phone(941) 255-0588

Organization SubpartNo

Authorized OfficialJeffrey M MooreOwner Optometrist · (941) 255-0588

Enumeration DateNovember 24, 2006

Last NPPES UpdateJanuary 12, 2009

✔ NPI 1568537454 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 FL · OPC1680

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.

1444 TAMIAMI TRAIL, Pt Charlotte, FL 33948

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Other Identifiers 2

Medicare PINK4770FL

Medicare UPINT84144FL

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)

Jeffrey M Moore Od Pa 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 Jeffrey M Moore Od PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Moore, O.D.

Optometry

NPI 1447275557

4455 CLEVELAND AVE STE A
Fort Myers, FL 33901

(239) 939-5393

✔ PECOS✔ Accepts Medicare33 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 Jeffrey M Moore Od PA's NPI number?

The NPI number for Jeffrey M Moore Od PA is 1568537454. It was assigned to this organization in the NPPES registry on November 24, 2006.

Where is Jeffrey M Moore Od PA located?

Jeffrey M Moore Od PA is located at 1444 Tamiami Trail 481, Pt Charlotte, FL 33948. The listed phone number is (941) 255-0588.

What is Jeffrey M Moore Od PA's specialty?

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

Is Jeffrey M Moore Od PA enrolled in Medicare?

Yes. Jeffrey M Moore Od PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffrey M Moore Od PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jeffrey M Moore Od PA. 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 Jeffrey M Moore Od PA 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 Jeffrey M Moore Od PA 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 Jeffrey M Moore Od PA was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.