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Individual
DR. JAMES STEPHEN MOORE
Active
Individual
DR. JAMES STEPHEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
566
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01729377
—
MS
01
—
5627310001
MEDICARE DMEPOS SUPPLIER
MS
Enumeration date
05/04/2006
Last updated
03/07/2023
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