EMILY MARIE MOORE (OD) – Optometrist, NPI 1922868751

EMILY MARIE MOORE (OD) is a healthcare provider. based in Morrisdale, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG004141 (PA). The NPI Number for EMILY MARIE MOORE (OD) is 1922868751

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
EMILY MARIE MOORE (OD)
NPI
1922868751
Phone
Not provided
Address
55 RAINBOW LN
Enumeration Date
20 March 2024
Last Update Date
27 May 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4127414610
Graduation Year
2023 (3 years ago)
PAC ID
6204374937
Group Practice PAC ID
0345137105
Professional Enrollment ID
I20240813002913
Address ID
PA151431500SE400XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for EMILY MARIE MOORE (OD)

  • 55 RAINBOW LN

    MORRISDALE, PA 168588865

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($43).

Total Amount

$110

General + Research + Ownership

Payments

4

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240813002913IOptometryPATBD

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.

Verify on CMS Revalidation Lookup Tool

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 16858)

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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: 0345137105View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YPA
O P H T H A L M O L O G YIL
O P T O M E T R YNJ
O P H T H A L M O L O G YPA
-PA
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

Does EMILY MARIE MOORE (OD) have a public NPI I can cite?
Public records show EMILY MARIE MOORE (OD) under NPI 1922868751.
Does the public listing show EMILY MARIE MOORE (OD) as active?
EMILY MARIE MOORE (OD)'s NPI record reflects an active status in NPPES.
Which specialty label fits EMILY MARIE MOORE (OD)?
NPPES ties EMILY MARIE MOORE (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit EMILY MARIE MOORE (OD) in Morrisdale, Pennsylvania?
For routing, start with Morrisdale, Pennsylvania for EMILY MARIE MOORE (OD), then verify phone and hours locally.
Why is information missing for EMILY MARIE MOORE (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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