Individual
NIKOLAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
161 DEER ST, PORTSMOUTH, NH 03801-3905
(603) 430-0211
Mailing address
161 DEER ST, PORTSMOUTH, NH 03801-3905
(603) 430-0211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1029
NH
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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