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Active NPI 1730289935 Individual Practitioner Male Practitioner

Dr. Mark Edward Moore , OD

Optometrist • Petersburg, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Moore, OD is a certified Optometrist practicing in Petersburg, VA. With approximately 37 years of clinical experience since graduating from Southern College Of Optometry in 1989, Dr. Moore delivers high-quality medical care to the local community at 3333 S CRATER RD STE 2D.

Dr. Moore accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3333 S Crater Rd Ste 2d

Petersburg, VA 238059276

Telephone 8047323937
Fax 8047336005
Associated Practice Facility / Clinic
🏢 Crater Vision Inc Facility NPI 1497935829

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Petersburg, VA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +3.7 yrs vs City Avg
City Avg: 33.3 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Petersburg, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (37 Years) 37 Yrs
Petersburg Specialty Average (33.3 Years) 33.3 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
338 322 $138.85 $121.94
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $144.71 $87.91

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618001005

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
009235221 (VA)
Commercial Insurance / Payer ID Blue Cross
080634 (VA)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2017

Registered at 3333 S CRATER RD STE 2D, PETERSBURG, VA 238059276 (Tel: 8047323937)

📍
Updated Business Mailing Address June 29, 2017

Registered at 3333 S CRATER RD STE 2D, PETERSBURG, VA 238059276 (Tel: 8047323937)

👤
Provider Name / Credentials Updated June 29, 2017

Recorded as MARK MOORE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Optometrist (License #0618001005 in VA)

NPI Profile Active December 11, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2007

Registered at 3333 S CRATER RD STE 2D, PETERSBURG, VA 238059276 (Tel: 8047323937)

📍
Updated Business Mailing Address December 11, 2007

Registered at 3333 S CRATER RD STE 2D, PETERSBURG, VA 238059276 (Tel: 8047323937)

👤
Provider Name / Credentials Updated December 11, 2007

Recorded as MARK MOORE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2007

Optometrist (License #0618001005 in VA)

🟢
Initial NPI Registration & Enumeration September 25, 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: 1730289935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: June 29, 2017
Sole Proprietor: No

Mailing Address

3333 S Crater Rd Ste 2d

Petersburg, VA 238059276

Phone: 8047323937

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.