Individual
DR. CARI LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3521 RICHLAND AVE, AIKEN, SC 29801-6311
(803) 641-4646
(803) 641-4648
Mailing address
217 E LAKE AVE, WATSONVILLE, CA 95076-4716
(831) 724-3823
(831) 724-2605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10138T
CA
152W00000X
Optometrist
Primary
2202
SC
152W00000X
Optometrist
OPT003292
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202
SC STATE LICENSE
SC
05
—
5679634
—
CA
01
—
BO427A
PTAN
CA
Enumeration date
02/08/2007
Last updated
08/17/2021
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