Individual
HOWARD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1133 FOX MEADOWS BLVD, SEVIERVILLE, TN 37862-6923
(865) 453-8444
Mailing address
1133 FOX MEADOWS BLVD, SEVIERVILLE, TN 37862-6923
(865) 453-8444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1635
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3713646
—
TN
Enumeration date
01/03/2007
Last updated
07/11/2024
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