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MICHAEL DAVID MOORE M.D. NPI 1366521759


NPI Information

NPI: 1366521759
Provider Name: MICHAEL DAVID MOORE, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5792 WIDEWATERS PKWY STE 101
SYRACUSE, NY
ZIP 13214
Phone: (315) 422-4412
Get Directions

Michael David Moore, M.D. is an ophthalmology in Syracuse, NY with 34 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Michael David Moore, M.D. NPI is 1366521759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5792 WIDEWATERS PKWY STE 101
SYRACUSE, NY
ZIP 13214-847
Phone: (315) 422-4412

The NPI 1366521759 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Diagnostic imaging of retina (HCPCS:92134)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 11/4/2006 and was last updated on 4/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyG85428CALIFORNIANo
2207W00000XOphthalmology207748NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
149516OTHERCALIFORNIAINTERPLAN
200G854280MEDICAIDCALIFORNIA
31392936OTHERCALIFORNIAGREAT WEST
42700475OTHERCALIFORNIACIGNA
57429234OTHERCALIFORNIAAETNA
690121857OTHERCALIFORNIAPACIFICARE
7G85428OTHERCALIFORNIABLUE CROSS
8MCMG170200OTHERCALIFORNIAWESTERN HEALTH ADVANTAGE
900G854280OTHERCALIFORNIABLUE SHIELD
1001852235MEDICAIDNEW YORK
111767577OTHERCALIFORNIAUNITED HEALTHCARE
122258848OTHERCALIFORNIAFIRST HEALTH
13937998OTHERCALIFORNIAFIRST HEALTH
14000001620745OTHERCALIFORNIAPHCS
15089071OTHERCALIFORNIAHEALTH NET

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.