DR. KATHLEEN BRADY MOORE (NPI# 1275521486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275521486 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN BRADY MOORE |
| Credential | OD |
| Practice Address |
13880 Braddock Rd Suite 110 Centreville VA 20121-2459 |
| Practice Telephone | 7038302020 |
| Practice Fax Number | 7038304458 |
| Mailing Telephone | 7038302020 |
| Mailing Fax Number | 7038304458 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1435 | VA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559248 | Kathleen M Moore | Psychologist | 918 Cattail Ct, Sandpoint, ID 83864-5094 | 2018-12-10 |
| 1649672544 | Kathleen Moore | Specialist | 830 Shore Rd, Apt 2i, Long Beach, NY 11561-5401 | 2014-09-23 |
| 1770826687 | Kathleen L. Moore | Psychologist | 417 S Irena Ave, Redondo Beach, CA 90277-3819 | 2013-03-28 |
| 1932448206 | Kathleen Louise Moore | Dietitian, Registered | 3267 Mineral Springs Trl, Mt Pleasant, MI 48858-9694 | 2013-02-06 |
| 1346572740 | Kathleen A Moore | Counselor | 1221 W Laketon Ave, Muskegon, MI 49441-2866 | 2010-02-10 |
| 1558692897 | Kathleen L Moore | Licensed Practical Nurse | 99 Wood Rd, Freeville, NY 13068-9780 | 2010-01-27 |
| 1326603655 | Kathleen Moore | Occupational Therapist | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2019-05-02 |
| 1477037257 | Kathleen D Moore | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-09-18 |
| 1679055370 | Kathleen Bailey Moore | Registered Nurse | 109 W Main St, Moncks Corner, SC 29461-2673 | 2018-08-30 |
| 1255810768 | Kathleen S Moore | Speech-Language Pathologist | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-07 |
| Street Address |
13880 BRADDOCK RD SUITE 110 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198480 | Shoshana Holstein Killian | Pediatrics | 13880 Braddock Rd, Suite 201, Centreville, VA 20121-2459 | 2005-07-17 |
| 1992246888 | Hyue Kyung Kwon, D.d.s., P.C. | Clinic/Center | 13880 Braddock Rd, Suite 101, Centreville, VA 20121-2459 | 2017-03-13 |
| 1508293937 | Cliff Chen | Dentist | 13880 Braddock Rd, Ste 109, Centreville, VA 20121-2459 | 2013-09-30 |
| 1992142335 | Turner Chiropractic Clinic of Centreville | Clinic/Center | 13880 Braddock Rd, Suite 106, Centreville, VA 20121-2459 | 2013-05-24 |
| 1639428840 | Piyush R Patel Md, PC | Internal Medicine | 13880 Braddock Rd, Suite 209, Centreville, VA 20121-2459 | 2012-09-04 |
| 1619260007 | Jessica Jabola | Obstetrics & Gynecology | 13880 Braddock Rd, Suite 307, Centreville, VA 20121-2459 | 2011-05-18 |
| 1427356849 | Linda Colette Coleman | Nurse Practitioner | 13880 Braddock Rd, # 209, Centreville, VA 20121-2459 | 2011-03-09 |
| 1407187107 | Jason Brown | Chiropractor | 13880 Braddock Rd, Suite 108, Centreville, VA 20121-2459 | 2010-01-19 |
| 1336380203 | Song Jin Sophie Kim | Physician Assistant | 13880 Braddock Rd, Suite 301, Centreville, VA 20121-2459 | 2009-03-23 |
| 1740431121 | Yulee Kim | Acupuncturist | 13880 Braddock Rd, Suite 105, Centreville, VA 20121-2459 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| 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 |
|---|---|---|---|---|
| 1568756179 | Jimmy Chen, Od, Inc. | Optometrist | 13830 Lee Hwy Ste 8, Centreville, VA 20120-2417 | 2011-06-01 |
| 1235299744 | All Eyes Optometrists, PC | Optometrist | 6343 Multiplex Dr, Centreville, VA 20121-5327 | 2006-12-12 |
| 1164532297 | Charles D Allgood | Optometrist | 260 Walnut St, Centreville, AL 35042-2332 | 2006-08-30 |
| 1669486874 | Scott H Apted | Optometrist | 5943 Centreville Crest Ln, Centreville, VA 20121-2344 | 2006-07-27 |
| 1386678324 | Mojgan Haghshenas | Optometrist | 14245e Centreville Sq, Centreville, VA 20121-2368 | 2006-07-10 |
| 1952388498 | Anh-thu Nguyen Phan | Optometrist | 5219 Jule Star Dr, Centreville, VA 20120-3019 | 2005-12-27 |
| 1447770466 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 6343 Multiplex Dr, Centreville, VA 20121-5327 | 2017-06-21 |
| 1760778799 | Emily Ngo Chen | Optometrist | 13830 Lee Hwy Ste 8, Centreville, VA 20120 | 2011-06-28 |
| 1306037734 | Centreville Optometry, LLC | Optometrist | 14245e Centreville Sq, Centreville, VA 20121-2368 | 2007-08-09 |
| 1235330200 | Kim-quyen Thi Bui | Optometrist | 14637 Lee Highway, Suite 104, Centreville, VA 20121-5830 | 2007-05-29 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
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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.