Organization
MOORE FAMILY EYECARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MOORE OD (AUTHORIZED OFFICIAL)
(231) 645-0593
Entity
Organization
Contact information
Practice address
1515 COUNTY ROAD B W, SAINT PAUL, MN 55113-6005
(231) 645-0593
(612) 486-7789
Mailing address
1515 COUNTY ROAD B W, SAINT PAUL, MN 55113-6005
(231) 645-0593
(612) 486-7789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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