| Dr Luke Tae Jong Moore, MD | |
|
400 E 3rd St, Duluth, MN 55805-1951 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Dr Luke Tae Jong Moore |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 12 Years |
| Location | 400 E 3rd St, Duluth, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023452182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 63520 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Eye Center | 3375444920 | 3 |
| Entity Name | Island Eye Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487772000 PECOS PAC ID: 3375444920 Enrollment ID: O20040116000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luke Tae Jong Moore, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 783-8364 | Dr Luke Tae Jong Moore, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Jenny Yunjie Wang, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 502 E 2nd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Robert W Hollenhorst, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5007 Matterhorn Dr, Duluth, MN 55811 Phone: 218-720-3553 Fax: 218-786-9375 | |
Charles Earl Ahrens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4190 Loberg Ave, Duluth, MN 55811 Phone: 218-249-4600 Fax: 218-249-4666 | |
Dr. Kevin William Treacy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 324 W Superior St, 800 Medical Arts, Duluth, MN 55802 Phone: 218-249-3570 Fax: 218-722-8582 | |
Joseph Davis Morehouse, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3937 | |
Dr. Mostafa Mohamed Ezzat Hamza A Mazen, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 |