Dr. Mark Edward Moore is a Petersburg, Virginia based male Optometrist with 35 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1989. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mark Edward Moore is 0618001005 for Optometry in Virginia. Dr. Mark Edward Moore 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Mark Edward Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
35+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3333 S Crater Rd Ste 2d, Petersburg, Virginia, 23805-9276
Phone:
804-732-3937
Fax:
804-733-6005
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2264545839
Enrollment ID:
I20120301000144
NPI Number:
1730289935
NPI Enumeration Date:
25 Sep, 2006
NPI Last Update On:
29 Jun, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Edward Moore are as mentioned below.
License Number
Specialization
State
Status
0618001005
Optometry
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Edward Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
080634
Other
Virginia
BLUE CROSS
009235221
Medicaid
Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3333 S Crater Rd Ste 2d, Petersburg, Virginia
Zip:
23805-9276
Phone Number:
804-732-3937
Fax Number:
804-733-6005
Patients can reach Dr. Mark Edward Moore at 3333 S Crater Rd Ste 2d, Petersburg, Virginia or can call to book an appointment on 804-732-3937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.