TERRY J MOORE MD NPI 1376550772

NPI Information

  • NPI: 1376550772
  • Provider Name: TERRY J MOORE, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1821 S WEBSTER AVE
    GREEN BAY, WI
    ZIP 54301
  • Phone: (920) 496-4700

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NPI Details

Terry J Moore, MD is an ophthalmology in Green Bay, WI. 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. Terry J Moore, MD NPI is 1376550772. 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:

1821 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301-253
Phone: (920) 496-4700
Fax: (920) 496-4705

The NPI 1376550772 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 4/4/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology41170WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G43784MEDICARE UPIN
2000207670MEDICARE ID-TYPE UNSPECIFIEDWISCONSINBROWN CO
332575400MEDICAIDWISCONSIN
4000271495MEDICARE ID-TYPE UNSPECIFIEDWISCONSINWINNEBAGO CO

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: 3/30/2025

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