Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark D Moore, OD

Individual provider Optometrist · NPI 1043328800

Dr. Mark D Moore, OD is an Optometry in Douglas, Georgia. Qualified in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
36
Licensed in
GA
In the registry since
2006
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

504 Peterson Ave S
Douglas, GA 31533-5254
Phone: (912) 389-1230
Fax: (912) 389-1260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT001723 (GA)

Record details

NPI number1043328800
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 29, 2006
Last updated in NPPESMarch 20, 2015
Mailing address504 Peterson Ave S, Douglas, GA 31533-5254

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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