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DR. NICOLE MOFFETT OF OPTOMETRY
NPI 1881064319
Optometrist in Waldorf, MD

Active since September 27, 2015
2365 CRAIN HWY, WALDORF, MD 20601(301) 932-9408 Get Directions Write a Review

NPPES record last updated: September 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Moffett Of Optometry NPPES

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

DR. NICOLE MOFFETT OF OPTOMETRY (NPI 1881064319) is a healthcare organization registered as an optometrist in Waldorf, Maryland and active in the NPI registry since September 2015. The organization lists Nicole Renee Moffett, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1881064319
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameNICOLE R. MOFFETT OD PA
Location Address2365 CRAIN HWYWaldorf, MD 20601-3167
Mailing AddressPo Box 451Cheltenham, MD 20623-0451
Phone(301) 932-9408
Organization SubpartNo
Authorized OfficialNicole Renee MoffettOptometrist · (301) 627-5090
Enumeration DateSeptember 27, 2015
✔ NPI 1881064319 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 MD · TA 1223
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.
2365 CRAIN HWY, Waldorf, MD 20601
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Other Names 1

Other NameDr. Nicole Moffett Of Optometry

Other Identifiers 1

Medicaid4463081 00MD

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

Other Providers at the Same Location NPPES 4

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

MARK ANTOINE PONDS
Pharmacist
2365 CRAIN HWY
WALDORF, MD 20601
Charles County (301) 932-8260
DR. NICOLE RENEE MOFFETT O.D.
Optometrist
2365 CRAIN HWY
WALDORF, MD 20601
Charles County (301) 932-9408
SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
2365 CRAIN HWY
WALDORF, MD 20601
Charles County (301) 932-8260
SAM'S CLUB OPTICAL
Eyewear Supplier
2365 CRAIN HWY
WALDORF, MD 20601
Charles County (301) 645-6116

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 Nicole R. Moffett Od PA's NPI number?

The NPI number for Nicole R. Moffett Od PA is 1881064319. It was assigned to this organization in the NPPES registry on September 27, 2015. The provider is also known as Dr. Nicole Moffett Of Optometry.

Where is Nicole R. Moffett Od PA located?

Nicole R. Moffett Od PA is located at 2365 Crain Hwy, Waldorf, MD 20601. The listed phone number is (301) 932-9408.

What is Nicole R. Moffett Od PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole R. Moffett Od PA was last updated on September 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.