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

Individual provider Optometrist · NPI 1417200288

Tiffany Louise Moore, OD is an Optometry in Santa Rosa, California. Graduated from Pacific University - College of Optometry in 2015, 11 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
11
Trained at
Pacific University - College of Optometry
Licensed in
CA
In the registry since
2012
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

800 4th St
Santa Rosa, CA 95404-4505
Phone: (707) 542-1554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 15230 (CA)

Record details

NPI number1417200288
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 18, 2012
Last updated in NPPESJune 10, 2015

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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