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

Jacob Bradley Moore

Individual provider Optometrist · NPI 1063080554

Jacob Bradley Moore is an Optometry in Columbia, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2021, 5 years ago. Practices with Helfrich Family Eye Care, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2021
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Practice location Address checks out

500 N Keene St Ste 103
Columbia, MO 65201-8104
Phone: (573) 874-2030
Fax: (573) 449-0253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2021020987 (MO)

Record details

NPI number1063080554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateMay 24, 2021
Mailing address500 N Keene St, Suite 103, Columbia, MO 65201-8104

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Helfrich Family Eye Care, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia