Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Jack Moore, OD
Optometrist in Olympia, WA · enumerated 2011.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1891063236
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Registry record
Entity type Individual (Type 1)
Name Dr. Jack Moore
Credential OD
Sex Male
Practice address 3700 Martin Way E, #101, Olympia, WA, 98506
Phone (360) 456-2020
Fax (360) 438-2577
Enumeration date Dec 13, 2011
Last updated in NPPES Dec 13, 2011
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Jack Moore?
Jack Moore is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-13.