Organization
TIMOTHY D MOORE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DEAN MOORE O.D. (PRESIDENT)
(918) 968-3422
Entity
Organization
Contact information
Practice address
109 W MAIN ST, STROUD, OK 74079-3607
(918) 968-3422
(918) 968-4829
Mailing address
PO BOX 237, STROUD, OK 74079-0237
(918) 968-3422
(918) 968-4829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
897
OK
Other
Enumeration date
03/13/2007
Last updated
02/25/2008
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