DR. SAMUEL DAVID MOORE (NPI# 1881637445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881637445 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL DAVID MOORE |
| Credential | O.D. |
| Practice Address |
1414 E Main St Santa Maria CA 93454-4806 |
| Practice Telephone | 8059252637 |
| Mailing Telephone | 8059252637 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10654T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE DMERC | 1312330002 | 01 |
| CA | SD0106540 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346594793 | Samuel B Moore | Specialist/Technologist | 4337 Drew Ave N, Robbinsdale, MN 55422 | 2012-11-07 |
| 1376156943 | Samuel Thomas Moore | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2020-08-25 |
| 1427508639 | Samuel Moore | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-10-12 |
| 1447600085 | Samuel Evan Moore | Marriage & Family Therapist | 10776 Fremont St, Yucaipa, CA 92399-9630 | 2016-06-14 |
| 1225418999 | Samuel L Moore | Physical Therapist | 250 Country Club Pkwy, Spring Creek, NV 89815-5830 | 2015-06-08 |
| 1447580139 | Samuel Austin Moore | Nurse Anesthetist, Certified Registered | 823 Sw Mulvane St, Suite 210, Topeka, KS 66606-1764 | 2010-01-03 |
| 1467684621 | Samuel Arthur Moore | Psychiatry & Neurology | 501 20th St, Ste 503, Knoxville, TN 37916-1809 | 2009-08-20 |
| 1881859478 | Samuel A Moore | Orthopaedic Surgery | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | 2008-07-23 |
| Street Address |
1414 E MAIN ST |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497120653 | Western Diagnostic Services Laboratory, LLC | Clinical Medical Laboratory | 1414 E Main St, Suite 102, Santa Maria, CA 93454-4806 | 2015-12-14 |
| 1558400663 | Jason Chang | Optometrist | 1414 E Main St, Santa Maria, CA 93454-4806 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| 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 |
|---|---|---|---|---|
| 1598202194 | Daniel & Max, LLC | Optometrist | 336 E Betteravia Rd, Santa Maria, CA 93454-7806 | 2017-01-21 |
| 1225341704 | Michael J Young | Optometrist | 327 East Plaza Drive #1b, Santa Maria, CA 93454-6930 | 2010-07-26 |
| 1871723015 | Pacific Eye Surgeons, A California Professional Medical Corporation | Optometrist | 230 E Betteravia Rd, Suite S, Santa Maria, CA 93454-7845 | 2009-07-22 |
| 1801020755 | Ali Od and Patel Od Poc | Optometrist | 1335 S Bradley Rd, Santa Maria, CA 93454-8005 | 2009-05-06 |
| 1144403916 | William R Reid Od Inc | Optometrist | 937 E Main St Ste 102, Santa Maria, CA 93454-5309 | 2007-12-14 |
| 1285784355 | Stephen Joe Healey | Optometrist | 363 Town Ctr E, Santa Maria Town Center Space G-73, Santa Maria, CA 93454-5159 | 2007-01-11 |
| 1538244371 | Christine L Schmidt | Optometrist | 2011 S Broadway Ste G, Santa Maria, CA 93454-7886 | 2006-10-26 |
| 1902987001 | John Rader Prewett | Optometrist | 1429 S Broadway, Santa Maria, CA 93454-6913 | 2006-10-17 |
| 1023108743 | Sabrina Warhola | Optometrist | 2011 S Broadway, Suite G, Santa Maria, CA 93454-7886 | 2006-10-13 |
| 1477588127 | William Pimienta | Optometrist | 4850 S Bradley Rd, Ste. A-2, Santa Maria, CA 93455-5071 | 2006-07-11 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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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.