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

Jennifer Julie Moore, OD

Individual provider Optometrist · NPI 1396853800

Jennifer Julie Moore, OD is an Optometry in Edmond, Oklahoma. Qualified in 2005, 21 years ago. Practices with Parkside Eyecare PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
21
Licensed in
OK
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

318 S Littler Ave
Edmond, OK 73034-3823
Phone: (405) 341-3567
Fax: (405) 359-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2476 (OK)

Record details

NPI number1396853800
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 25, 2006
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Parkside Eyecare Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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