Mack Moore Shoes
NPI 1235341173 · Durable Medical Equipment & Medical Supplies · Charleston, IL
Enrolled with Medicare as Dme Supplier - Pedorthic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mack Moore Shoes is a Durable Medical Equipment & Medical Supplies organization in Charleston, IL (NPI 1235341173).
Provider details
- NPI number
- 1235341173
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- William Moore, General Manager(217) 345-3479
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mack Moore Shoes's NPI number?
- Mack Moore Shoes's National Provider Identifier (NPI) is 1235341173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mack Moore Shoes?
- Mack Moore Shoes is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Mack Moore Shoes located?
- Mack Moore Shoes's practice location on file with NPPES is 305 W Lincoln Ave, Charleston, IL 61920-3020.
- What is Mack Moore Shoes's phone number?
- The practice phone number listed in the NPPES registry for Mack Moore Shoes is (217) 345-3479.
- Does Mack Moore Shoes accept Medicare?
- Mack Moore Shoes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mack Moore Shoes?
- The authorized official listed on Mack Moore Shoes's NPPES record is William Moore, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mack Moore Shoes's NPI active?
- Yes — Mack Moore Shoes's NPI (1235341173) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.