1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

EVELYN MARIE MOORE O.D., P.C.
NPI 1750670808
Durable Medical Equipment & Medical Supplies in Champaign, IL

Active since March 29, 2011
501 S MATTIS AVE, SUITE B, CHAMPAIGN, IL 61821(217) 351-4106(217) 351-4052 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evelyn Marie Moore O.d., P.c. NPPES

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

EVELYN MARIE MOORE O.D., P.C. (NPI 1750670808) is a healthcare organization registered as a durable medical equipment & medical supplies in Champaign, Illinois and active in the NPI registry since March 2011. The organization lists Evelyn Marie Moore, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1750670808
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameEVELYN MARIE MOORE O.D., P.C.
Location Address501 S MATTIS AVE, SUITE BChampaign, IL 61821-4274
Mailing Address501 S Mattis Ave, Suite BChampaign, IL 61821-4274 · (217) 351-4106 · Fax (217) 351-4052
Phone(217) 351-4106
Fax(217) 351-4052
Organization SubpartNo
Authorized OfficialEvelyn Marie MoorePresident Of Corporation · (217) 351-4106
Enumeration DateMarch 29, 2011
✔ NPI 1750670808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in IL · 046006881
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
501 S MATTIS AVE, Champaign, IL 61821
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN1497826655IL
Medicaid1497826655IL
Medicare NSC0367860001IL
Medicare UPIN65910IL

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 Evelyn Marie Moore O.D., P.C.'s NPI number?

The NPI number for Evelyn Marie Moore O.D., P.C. is 1750670808. It was assigned to this organization in the NPPES registry on March 29, 2011.

Where is Evelyn Marie Moore O.D., P.C. located?

Evelyn Marie Moore O.D., P.C. is located at 501 S Mattis Ave Suite B, Champaign, IL 61821. The listed phone number is (217) 351-4106.

What is Evelyn Marie Moore O.D., P.C.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Evelyn Marie Moore O.D., P.C. was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.