Individual
DR. BRIAN ALEXANDER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9970 MOUNTAIN VIEW DR, SUITE 200, WEST MIFFLIN, PA 15122-2474
(412) 653-3080
(412) 653-3580
Mailing address
PO BOX 644214, PITTSBURGH, PA 15264-4214
(412) 653-3080
(412) 650-8963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001932
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427258276
OPTICARE
PA
01
—
1978298
HIGHMARK BCBS
PA
01
—
50539010
DAVIS VISION
PA
01
—
688671
ADVANTRA/ HEALTH AMERICA
PA
Enumeration date
07/19/2007
Last updated
05/17/2010
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