National Provider Identifier
Jason Winthrop Moore, O.D.
Jason Winthrop Moore, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Rochester, NY and a listed phone number of (585) 245-0471.
Profile Overview
- NPI
- 1437177813
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- July 17, 2006
- Last Updated
- August 04, 2022
Practice Location
- 2672 W Ridge RD
- Rochester, NY 14626-3054
Phone: (585) 245-0471
Specialties
- Optometrist (152W00000X)
- Corneal and Contact Management Optometrist (152WC0802X)
- Optometrist (152W00000X)
- Pediatric Optometrist (152WP0200X)
- Vision Therapy Optometrist (152WV0400X)
Full Record
- NPI
- 1437177813
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Jason
- Middle Name
- Winthrop
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 2672 W Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-3054
- Mailing Country
- US
- Mailing Phone
- (585) 245-0471
- Mailing Fax
- (585) 227-6963
- Practice Street Address
- 2672 W Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-3054
- Practice Country
- US
- Practice Phone
- (585) 245-0471
- Practice Fax
- (585) 227-6963
- Enumeration Date
- July 17, 2006
- Last Updated
- August 04, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X), Corneal and Contact Management Optometrist (152WC0802X), Optometrist (152W00000X), Pediatric Optometrist (152WP0200X), Vision Therapy Optometrist (152WV0400X)