KELLY MOORE – Optometrist, NPI 1932630902

KELLY MOORE is a healthcare provider. based in Honolulu, Hawaii. specializing in Optometrist. They hold a License No. OD-878 (HI). The NPI Number for KELLY MOORE is 1932630902

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELLY MOORE
NPI
1932630902
Phone
Not provided
Address
459 PATTERSON RD
Enumeration Date
22 March 2017
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
8086886898
Graduation Year
2017 (9 years ago)
PAC ID
2163761867
Group Practice PAC ID
8820151210
Professional Enrollment ID
I20190225000581
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for KELLY MOORE

  • 459 PATTERSON RD

    HONOLULU, HI 968191522

    Phone:

    Type: Mailing

  • 502, Kapahulu Avenue, Kapahulu, Honolulu, Honolulu County, Hawaii, 96815, United States

    HONOLULU, HI 968161332

    Phone: (808) 782-1861

    Type: Mailing

  • Plummer Street, North Hills, Los Angeles, Los Angeles County, California, 91343-2530, United States

    NORTH HILLS, CA 914032036

    Phone: (818) 891-7711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96819)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820151210View full group profile
NameSpecialtyState
O P H T H A L M O L O G YHI
-HI
O P T O M E T R YHI
O P H T H A L M O L O G YHI
O P T O M E T R YHI

Reviews

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Frequently asked questions

What identifier follows KELLY MOORE across health systems?
The NPI 1932630902 uniquely identifies KELLY MOORE in U.S. healthcare data.
Quick check: is KELLY MOORE active?
Public NPPES data shows KELLY MOORE with an active NPI status right now.
What does the directory say KELLY MOORE does?
Insurance directories may phrase it differently, but here KELLY MOORE maps to Optometrist. Clinical services aligned with this taxonomy classification.
Is KELLY MOORE tied to Honolulu, Hawaii?
If you are local to Honolulu, Hawaii, KELLY MOORE may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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