Mark Edward Moore, O.D.
Optometrist · Petersburg, VA
Mark Edward Moore, O.D. is an optometrist with a practice address in Petersburg, Virginia, and NPI 1730289935, issued on Sep 25, 2006. Check the license (Virginia 0618001005, as entered in NPPES) with the Virginia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mark Edward Moore
- Credential
- O.D.
- Primary taxonomy
- Optometrist 152W00000X
- License number
- 0618001005 VA
Self-reported in NPPES; status is on the state search - Practice location
- 3333 S Crater RD Ste 2D, Petersburg, VA 23805
- Phone
- (804) 732-3937
- Enumerated
- Sep 25, 2006
- Record last updated
- Jun 29, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (804) 733-6005
- Medicaid ID
- 009235221 VA
- Medicare enrollment
- Enrolled (PECOS I20120301000144); accepts Medicare assignment
- Medical or professional school
- Southern College Of Optometry, 1989
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,460 in Virginia → Look up another NPI →
Verify Mark Edward Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0618001005Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mark Edward Moore among 1,460 optometrist records in Virginia
Mark Edward Moore, O.D. is one of 1,460 optometrist records with a practice address in Virginia. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 56% newer
- In a Medicare fileNo · 70% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated1989 · median 2007 among the 885 with a school on file
- Record last updated2017 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Optometrist providers in Virginia
There are 1,460 optometrist records in Virginia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,460 in Virginia → Every provider in Petersburg → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Robert Foster, ODPetersburg, VA 238051447511001
- Patricia Testamark, ODPetersburg, VA 238051902808710
- Ajit Tiwari, ODPetersburg, VA 238031053319293
- Elena Carter, O.D.Fort Gregg Adams, VA 238011164664504
- Robert Corcoran, O.D.Fort Gregg Adams, VA 238011467426973
- Jonathan Fugate, ODFort Gregg Adams, VA 238011083270003
- Michael Lawson, O.D.Fort Lee, VA 238011144399221
- Roy Whitehouse, O.D.Blackstone, VA 238241780864322
Common questions
What is Mark Edward Moore, O.D.'s NPI number?
Mark Edward Moore, O.D.'s National Provider Identifier (NPI) is 1730289935, issued on Sep 25, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mark Edward Moore, O.D. located?
The NPPES record lists a practice address at 3333 S Crater RD Ste 2D, Petersburg, VA, 23805. Phone: (804) 732-3937. Providers update this record themselves, so call before visiting.
How can I verify Mark Edward Moore, O.D.'s license?
NPPES lists Virginia license number 0618001005, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.