JENNIFER JULIE MOORE (OD) – Optometrist, NPI 1396853800
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
684 OPTOMETRY in OK
Provider Addresses for JENNIFER JULIE MOORE (OD)
2841 NW 173RD ST
EDMOND, OK 730126728
Phone: (405) 513-8150
Fax: (405) 513-8153
Type: Mailing
318 S LITTLER AVE
EDMOND, OK 730343823
Phone: (405) 341-3567
Fax: (405) 359-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $275.
Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Alcon Vision LLC ($100).
Total Amount
$275
General + Research + Ownership
Payments
14
Total payment records
General Amount
$275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $100 |
| Optos, Inc. | $36 |
| Sun Pharmaceutical Industries Inc. | $35 |
| CooperVision Inc. | $27 |
| Bausch & Lomb Americas Inc. | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060505000228 | I | Optometry | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 210 | 195 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 185 | 115 | $0 |
| 92083 | Exam of visual field with extended testing | 172 | 159 | $0 |
| 92285 | Photography of content of eyes | 104 | 101 | $0 |
| 92134 | Imaging of retina | 104 | 95 | $0 |
Insurance plans in this area (ZIP 73012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OK | |
| O P T O M E T R Y | OK |
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