Individual
DR. THOMAS MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1358 HOOPER AVENUE, TOMS RIVER, NJ 08753
(732) 349-5632
(732) 505-1068
Mailing address
1358 HOOPER AVENUE, TOMS RIVER, NJ 08753
(732) 349-5632
(732) 505-1068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00365100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511301
—
NJ
Enumeration date
10/10/2006
Last updated
07/08/2007
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