Dr Timothy Dean Moore, OD, PC is a medicare enrolled "Optometrist" provider in Stroud, Oklahoma. His current practice location is
109 W Main St, Stroud, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 968-3422.
Dr Timothy Dean Moore is licensed to practice in Oklahoma (license number 897) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417935008.
Healthcare Provider's Profile
Full Name | Dr Timothy Dean Moore |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 109 W Main St, Stroud, Oklahoma |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Timothy Dean Moore attended and graduated from in
NPI Data:
- NPI Number: 1417935008
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 02/25/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Timothy Dean Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417935008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 897 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Dean Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Timothy Dean Moore, OD, PC Po Box 237, 109 W. Main St., Stroud, OK 74079-0237 Ph: (918) 968-3422 | Dr Timothy Dean Moore, OD, PC 109 W Main St, Stroud, OK 74079-3607 Ph: (918) 968-3422 |
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