Individual
JOSEPH L MORIARITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6050 STATE ROUTE 571, GREENVILLE, OH 45331-9695
(937) 547-6050
(937) 547-1911
Mailing address
1900 CHESTER BLVD, RICHMOND, IN 47374-1213
(765) 962-2020
(765) 966-2975
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006759
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363755
—
OH
05
—
300028110
—
IN
Enumeration date
05/22/2019
Last updated
09/16/2019
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