Individual
BREEZY JANE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
88 HARDEES DR, MIFFLINBURG, PA 17844-7062
(570) 966-3000
Mailing address
137 JPM RD, LEWISBURG, PA 17837-9313
(570) 523-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001933
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113532
GEISINGER
—
01
—
118325
BLUE SHIELD
—
01
—
50083510
CAPITAL BLUE
—
01
—
825611
FIRST PRIORITY HEALTH
—
Enumeration date
06/27/2007
Last updated
01/31/2011
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