Organization
MOORE VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES STEPHEN MOORE OD (OWNER OPTOMETRIST)
(601) 249-0083
Entity
Organization
Contact information
Practice address
1722 VETERANS BLVD, STE C2, MCCOMB, MS 39648-2052
(601) 684-4481
(601) 249-0309
Mailing address
1722 VETERANS BLVD, STE C2, MCCOMB, MS 39648-2052
(601) 684-4481
(601) 249-0309
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
566
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01729377
—
MS
Enumeration date
05/02/2006
Last updated
07/21/2014
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