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

Dr. Jack Moore, OD

Individual provider Optometrist · NPI 1891063236

Dr. Jack Moore, OD is an Optometry in Olympia, Washington. Graduated from Illinois College of Optometry at Chicago in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
15
Trained at
Illinois College of Optometry at Chicago
Licensed in
WA
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3700 Martin Way E #101
Olympia, WA 98506-5052
Phone: (360) 456-2020
Fax: (360) 438-2577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD60240767 (WA)

Record details

NPI number1891063236
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 13, 2011
Last updated in NPPESDecember 13, 2011
Mailing address3700 Martin Way E, 101, Olympia, WA 98506-5052

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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