Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evelyn Marie Moore OD, PC

Organization Durable Medical Equipment & Medical Supplies · NPI 1750670808

Evelyn Marie Moore OD, PC is a Durable Medical Equipment & Medical Supplies in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 S Mattis Ave Ste B
Champaign, IL 61821-4274
Phone: (217) 351-4106
Fax: (217) 351-4052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 046006881 (IL)

Record details

NPI number1750670808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelyn Moore — President Of Corporation · (217) 351-4106
NPI enumeratedMarch 29, 2011
Last updated in NPPESMarch 29, 2011
Mailing address501 S Mattis Ave, Suite B, Champaign, IL 61821-4274

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