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

Dr. Mark Edward Moore, OD

Individual provider Optometrist · NPI 1730289935

Dr. Mark Edward Moore, OD is an Optometry in Petersburg, Virginia. Graduated from Southern College of Optometry in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
37
Trained at
Southern College of Optometry
Licensed in
VA
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

3333 S Crater Rd Ste 2D
Petersburg, VA 23805-9276
Phone: (804) 732-3937
Fax: (804) 733-6005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618001005 (VA)

Record details

NPI number1730289935
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJune 29, 2017
Mailing address3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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