Organization
JASON W. MOORE OPTOMETRIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MOORE O.D. (OPTOMETRIST)
(585) 271-7613
Entity
Organization
Contact information
Practice address
1966 MONROE AVE, ROCHESTER, NY 14618-1920
(585) 271-7613
(585) 473-9190
Mailing address
1966 MONROE AVE, ROCHESTER, NY 14618-1920
(585) 271-7613
(585) 473-9190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT006526
NY
152WC0802X
Corneal and Contact Management Optometrist
VUT006526
NY
152WP0200X
Pediatric Optometrist
VUT006526
NY
152WV0400X
Vision Therapy Optometrist
VUT006526
NY
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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