Organization
KATHLEEN B. MOORE, OD
Active
Other names
Centreville Eye Care Center, Optometrists
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRADY MOORE OD (OPTOMETRIST)
(703) 830-2020
Entity
Organization
Contact information
Practice address
13880 BRADDOCK RD STE 110, CENTREVILLE, VA 20121-2460
(703) 830-2020
(703) 830-4458
Mailing address
13880 BRADDOCK RD STE 110, CENTREVILLE, VA 20121-2460
(703) 830-2020
(703) 830-4458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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