Organization
ROBERT L. MOORE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MOORE O.D. (PRESIDENT)
(205) 758-1966
Entity
Organization
Contact information
Practice address
631 HELEN KELLER BLVD, SUITE 100, TUSCALOOSA, AL 35404-2983
(205) 758-1966
(205) 758-1548
Mailing address
631 HELEN KELLER BLVD, SUITE 100, TUSCALOOSA, AL 35404-2983
(205) 758-1966
(205) 758-1548
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-758-TA-061
AL
332H00000X
Eyewear Supplier
S758-TA061
AL
Other
Enumeration date
12/27/2006
Last updated
03/27/2012
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