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Active NPI 1043328800 Individual Practitioner Male Practitioner

Dr. Mark D Moore , OD

Optometrist • Douglas, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Moore, OD is a certified Optometrist practicing in Douglas, GA. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Moore delivers high-quality medical care to the local community at 504 PETERSON AVE S.

Dr. Moore accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

504 Peterson Ave S

Douglas, GA 315335254

Telephone 9123891230
Fax 9123891260
Associated Practice Facility / Clinic
🏢 Moore Optometry Services, Inc Facility NPI 1952421679

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Douglas, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +7.3 yrs vs City Avg
City Avg: 28.7 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Douglas, GA (1498 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (36 Years) 36 Yrs
Douglas Specialty Average (28.7 Years) 28.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
14 13 $134.29 $114.66

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT001723

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
457498953D (GA)
Commercial Insurance / Payer ID Medicare Ptan
GRP7442 (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2015

Registered at 504 PETERSON AVE S, DOUGLAS, GA 315335254 (Tel: 9123891230)

📍
Updated Business Mailing Address March 20, 2015

Registered at 504 PETERSON AVE S, DOUGLAS, GA 315335254 (Tel: 9123891230)

👤
Provider Name / Credentials Updated March 20, 2015

Recorded as MARK MOORE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2015

Optometrist (License #OPT001723 in GA)

🟢
Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043328800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: March 20, 2015
Sole Proprietor: Yes

Mailing Address

504 Peterson Ave S

Douglas, GA 315335254

Phone: 9123891230

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.