DR. SAMUEL DAVID MOORE O.D.
NPI 1881637445
Optometrist in Santa Maria, CA

Q: What is Samuel Moore's NPI number?

The NPI number for Samuel Moore is 1881637445. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Samuel 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 Samuel Moore was last updated on December 27, 2007. 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.

Active since June 13, 2006PECOS Enrolled

1414 E MAIN ST, SANTA MARIA, CA 93454(805) 925-2637 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Samuel David Moore O.d. NPPES

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

DR. SAMUEL DAVID MOORE O.D. (NPI 1881637445) is an individual optometrist in Santa Maria, California, licensed in California (10654T) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881637445

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. SAMUEL DAVID MOORECredential: O.D.

Location Address1414 E MAIN STSanta Maria, CA 93454-4806

Mailing Address1414 E Main StSanta Maria, CA 93454-4806 · (805) 925-2637

Phone(805) 925-2637

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateDecember 27, 2007

✔ NPI 1881637445 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 CA · 10654T

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.

1414 E MAIN ST, Santa Maria, CA 93454

Open in Google Maps ↗

Other Identifiers 5

Medicare UPINU59165CA

Medicare PINWOP10654ACA

Other1312330002CA · Medicare Dmerc

Medicare PINWOP10654BCA

MedicaidSD0106540CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Samuel David 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 Samuel Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Healthcare Network

87 mi

Federally Qualified Health Center (FQHC)

1230 JEFFERSON ST
Delano, CA 93215

Reassigned Medicare billing, California enrollment
276 clinicians in this Medicare group

NPI 1063283158 (559) 737-4700

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 93454 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

$139.99 typical visit price

range $62.01 – $184.40

Typical copayment $34.99 (range $15.50 – $46.10)

Most-billed visit code 99204

Established Patient

$76.76 typical visit price

range $20.60 – $151.20

Typical copayment $19.19 (range $5.15 – $37.80)

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 2

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

WESTERN DIAGNOSTIC SERVICES LABORATORY, LLC

Clinical Medical Laboratory

1414 E MAIN ST, SUITE 102
SANTA MARIA, CA 93454

Santa Barbara County (805) 548-1550

JASON CHANG O.D.

Optometrist

1414 E MAIN ST
SANTA MARIA, CA 93454

Santa Barbara County (805) 925-2637

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 Samuel Moore's NPI number?

The NPI number for Samuel Moore is 1881637445. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Samuel Moore located?

Samuel Moore practices at 1414 E Main St, Santa Maria, CA 93454. The listed phone number is (805) 925-2637.

What is Samuel Moore's specialty?

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

Is Samuel Moore enrolled in Medicare?

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

Which organization bills Medicare for Samuel Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Moore reassigns Medicare benefits to Family Healthcare Network (Delano, CA). 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 Samuel Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Moore accept?

Health plans from Providence Health Plan list Samuel 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 Samuel Moore was last updated on December 27, 2007. 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.