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Mark Edward Moore, O.D.

NPI 1730289935ActiveIndividual· Optometrist· Petersburg, VA

Optometrist (O.D.) in Petersburg, Virginia, trained at Southern College of Optometry (class of 1989). Medicare paid $28,559 for services to 331 patients in 2024.

Overview

NPI1730289935
StatusActive
Entity typeIndividual
CredentialO.D.
Sole proprietorNo
NPI issuedSep 25, 2006
Last updated in NPPESJun 29, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X0618001005VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (VA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients331
Services billed352 across 2 procedure codes
Paid by Medicare$28,559

Medicare sources and data years

Education and affiliations

Medical schoolSouthern College of Optometry
Graduation year1989
Medicare specialtyOptometry

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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