Dr Mark Edward Moore, OD | |
3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 | |
(804) 732-3937 | |
(804) 733-6005 |
Full Name | Dr Mark Edward Moore |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 35 Years |
Location | 3333 S Crater Rd Ste 2d, Petersburg, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730289935 | NPI | - | NPPES |
080634 | Other | VA | BLUE CROSS |
009235221 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618001005 (Virginia) | Primary |
Provider Name | Crater Vision Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497935829 PECOS PAC ID: 5799804654 Enrollment ID: O20120514000142 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Edward Moore, OD 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 Ph: (804) 732-3937 | Dr Mark Edward Moore, OD 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 Ph: (804) 732-3937 |
Legacy Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 3500 S Crater Rd, Petersburg, VA 23805 Phone: 804-861-2020 Fax: 804-861-2115 | |
Dr. Ajit D Tiwari, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 S Sycamore St, Petersburg, VA 23803 Phone: 804-732-5481 Fax: 804-732-8675 | |
Marron, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 49 Morton Ave, Petersburg, VA 23805 Phone: 804-732-2020 Fax: 804-732-0470 | |
Petersburg Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 44 Medical Park Blvd, Ste H, Petersburg, VA 23805 Phone: 804-898-3373 Fax: 804-479-3775 | |
Ajit D. Tiwari, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 S Sycamore St, Petersburg, VA 23803 Phone: 804-732-5481 | |
Dr. Robert Joaquin Foster, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3500 S Crater Rd, Petersburg, VA 23805 Phone: 804-861-2020 Fax: 804-861-2115 | |
Crater Vision Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3333 S Crater Rd Ste 2d, Petersburg, VA 23805 Phone: 804-732-3937 Fax: 807-733-6005 |