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

Jacob Bradley Moore

Individual provider Optometrist · NPI 1063080554

Jacob Bradley Moore is an Optometry in Columbia, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2021, 5 years ago. Practices with Helfrich Family Eye Care, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2021
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Practice location Address checks out

500 N Keene St Ste 103
Columbia, MO 65201-8104
Phone: (573) 874-2030
Fax: (573) 449-0253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2021020987 (MO)

Record details

NPI number1063080554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateMay 24, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Helfrich Family Eye Care, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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