Individual
KARIN RODRIGUEZ MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2179
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3943794
—
TN
01
—
4121846
BCBS & TNCARE SELECT #
TN
01
—
P00264124
RAILROAD MEDICARE PROV #
TN
Enumeration date
06/29/2006
Last updated
04/03/2025
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