Individual
MR. MICHAEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 W BOSCAWEN ST, WINCHESTER, VA 22601-4118
(540) 667-2220
Mailing address
216 W BOSCAWEN ST, WINCHESTER, VA 22601-4118
(540) 667-2220
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101001190
VA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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