ROBERT A MOORE (NPI# 1104892983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104892983 |
| Entity Type | Individual |
| Full Name | ROBERT A MOORE |
| Credential | OD |
| Practice Address |
1400 W Central Ave El Dorado KS 67042-2201 |
| Mailing Address |
1851 N Webb Rd Attn Flr2 Wichita KS 67206-3413 |
| Practice Telephone | 3163202200 |
| Practice Fax Number | 3163210430 |
| Mailing Telephone | 3166362010 |
| Mailing Fax Number | 3168583830 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12632 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100219320B | 05 | |
| KS | RAILROAD MEDICARE | 410029647 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868294 | Robert John Moore | Social Worker | 1633 Fairmount Ave, Philadelphia, PA 19130-2352 | 2019-06-02 |
| 1124683685 | Robert Hart Moore | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency 980118, 1250 E. Marshal Street, Richmond, VA 23298-0118 | 2019-05-09 |
| 1205354511 | Robert Lee Moore | Student in an Organized Health Care Education/Training Program | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-07 |
| 1083091201 | Robert Moore | Specialist/Technologist | 11600 Mary Catherine Dr, Clinton, MD 20735-1040 | 2015-04-27 |
| 1497150015 | Robert Moore | Audiologist | Dept of Speech Pathology and Audiology, Hahn 1119, University of South Alabama, Mobile, AL 36688-0001 | 2014-10-24 |
| 1780020388 | Robert R Moore | Counselor | 88 Beckwith Dr, Galesburg, MI 49053-9604 | 2013-05-22 |
| 1114262581 | Robert Daniel Moore | Hearing Instrument Specialist | 1911 S Main Street, Corbin, KY 40701 | 2012-12-11 |
| 1487918413 | Robert Wallace Moore Jr. | Orthopaedic Surgery | 4563 Landfall Ct, Destin, FL 32541-5313 | 2012-06-25 |
| 1972804102 | Robert Stephen Moore | Pharmacist | 671 Rancho Santa Fe Road, San Marcos, CA 92078-3973 | 2010-11-04 |
| 1942539978 | Robert Andrew Moore | Family Medicine | 11848 Goshen Ave, 301, Los Angeles, CA 90049-6336 | 2009-12-22 |
| Street Address |
1400 W CENTRAL AVE |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922239169 | Marcus S Randall | Optometrist | 1400 W Central Ave, El Dorado, KS 67042-2201 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1881850402 | Christopher Allen Smith | Optometrist | 2422 W Central Ave, Suite C, El Dorado, KS 67042-3239 | 2008-08-03 |
| 1497933758 | Heather H. Wooten, O.d., P.a. | Optometrist | 2348 W Central Ave, Suite B, El Dorado, KS 67042-3464 | 2008-02-07 |
| 1669480380 | Gregory Paul Joyce | Optometrist | 201 N Vine St, El Dorado, KS 67042-2055 | 2006-08-05 |
| 1902813314 | Kristin E Christian | Optometrist | 310 Thompson Avenue, El Dorado, AR 71730 | 2006-08-01 |
| 1154366102 | Steven Sowell | Optometrist | 2033 N West Ave, El Dorado, AR 71730-3349 | 2006-06-16 |
| 1124588405 | Med Southwest, Pllc | Optometrist | 310 Thompson Ave, El Dorado, AR 71730-4569 | 2019-03-22 |
| 1184020893 | Simpson & Parnell Od Pllc | Optometrist | 310 Thompson Ave, El Dorado, AR 71730-4569 | 2014-11-06 |
| 1316221831 | Melinda S. Legg Od | Optometrist | 2730 N West Ave, El Dorado, AR 71730-3124 | 2011-10-03 |
| 1366730905 | Christopher A Smith Od Pa | Optometrist | 2422 W Central Ave, Suite C, El Dorado, KS 67042-3239 | 2011-07-18 |
| Find all providers in EL DORADO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.