| Tracy Moor, | |
|
17273 State Route 104, Chillicothe, OH 45601-9718 | |
| (740) 773-1141 | |
| Not Available |
| Full Name | Tracy Moor |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 17273 State Route 104, Chillicothe, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184283277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 35085 (California) | Secondary |
| 152W00000X | Optometrist | OPT.006778 (Ohio) | Primary |
| Provider Name | Regents Of The University Of California |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699877621 PECOS PAC ID: 3577476761 Enrollment ID: O20040219000974 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Moor, Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Tracy Moor, 17273 State Route 104, Chillicothe, OH 45601-9718 Ph: (740) 773-1141 |
Dr. Melissa Marie Bennett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 | |
Dr. Wayne Matthew Young, OPTOMETRY Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1270 N Bridge St, Chillicothe, OH 45601 Phone: 614-779-6724 Fax: 740-779-6727 | |
Cindy W. Elrich, Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 4 Medical Dr, Chillicothe, OH 45601 Phone: 740-774-3934 Fax: 740-774-3935 | |
Dr. Dennis David Knowles, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 921 E Main St, Chillicothe, OH 45601 Phone: 740-772-2100 Fax: 740-772-2100 | |
Caroline Haberthy, O.D./M.S. Optometrist Medicare: Medicare Enrolled Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 | |
Dr. Kyle Andrew Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 159 E 2nd St, Chillicothe, OH 45601 Phone: 740-773-6347 Fax: 740-773-9093 | |
Dr. Daniel Grangaard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 |