Evelyn Marie Moore O.d., P.c.
Durable Medical Equipment & Medical Supplies
501 S Mattis Ave, Suite B, Champaign
Illinois, 61821-4274
217-351-4106 217-351-4052
Evelyn Marie Moore O.d., P.c. is a Durable Medical Equipment & Medical Supplies in Champaign, Illinois. It is located at 501 S Mattis Ave, Suite B, Champaign and it's customer support contact number is 217-351-4106. The authorized person of Evelyn Marie Moore O.d., P.c. is Dr. Evelyn Marie Moore, O.D. who is President Of Corporation of this DME and his contact number is 217-351-4106. Active license number of Evelyn Marie Moore O.d., P.c. is 046006881 for Durable Medical Equipment & Medical Supplies in Illinois.
Evelyn Marie Moore O.d., P.c. is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Evelyn Marie Moore O.d., P.c. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Evelyn Marie Moore O.d., P.c. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 501 S Mattis Ave, Suite B, Champaign,
Illinois, 61821-4274 |
| Phone: | 217-351-4106 |
| Fax: | 217-351-4052 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Evelyn Marie Moore |
| Credentials: | O.D. |
| Position: | President Of Corporation |
| Contact Number: | 217-351-4106 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1750670808 |
| NPI Enumeration Date: | 29 Mar, 2011 |
| NPI Last Update On: | 29 Mar, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evelyn Marie Moore O.d., P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 046006881 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1497826655 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 501 S Mattis Ave, Suite B
Champaign, Illinois |
| Zip: | 61821-4274 |
| Phone Number: | 217-351-4106 |
| Fax Number: | 217-351-4052 |
Patients can reach Evelyn Marie Moore O.d., P.c. at
501 S Mattis Ave, Suite B, Champaign, Illinois or can
call on customer care at 217-351-4106.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.