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

Michael David Moore, MD

Individual provider Ophthalmology Physician · NPI 1366521759

Michael David Moore, MD is an Ophthalmology in Syracuse, New York. Qualified in 1990, 36 years ago. Practices with Eye Consultants of Syracuse, PC, a 6-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
36
Licensed in
CA, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5792 Widewaters Pkwy Ste 101
Syracuse, NY 13214-1847
Phone: (315) 422-4412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 207748 (NY)
Ophthalmology Physician Taxonomy 207W00000X · Licence G85428 (CA)

Record details

NPI number1366521759
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 4, 2006
Last updated in NPPESApril 27, 2019
Mailing address5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Eye Consultants Of Syracuse, Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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