Organization
LONG VALLEY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER D MOORE OD (OWNER)
(908) 876-9955
Entity
Organization
Contact information
Practice address
62 E MILL RD, C-8, LONG VALLEY, NJ 07853-3118
(908) 876-9955
(908) 876-1055
Mailing address
62 E MILL RD, C-8, LONG VALLEY, NJ 07853-3118
(908) 876-9955
(908) 876-1055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4830
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124036
MEDICARE PTAN
NJ
Enumeration date
07/19/2007
Last updated
01/24/2012
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