Individual
MARIA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005712
NY
156FX1800X
Optician
8114-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02533448
—
NY
Enumeration date
05/16/2007
Last updated
09/11/2025
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