Organization
MOORE VISION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY BRAXTON MOORE O.D. (OPTOMETRIST)
(304) 654-4803
Entity
Organization
Contact information
Practice address
467 MAIN ST, SUITE 401, MADISON, WV 25130-2200
(304) 654-4803
Mailing address
467 MAIN ST, SUITE 401, MADISON, WV 25130-2200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1064-OD
WV
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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