Individual
DR. WARREN HAMPTON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1593 DARBY DRIVE, FLORENCE, AL 35630-5716
(256) 767-5522
(256) 767-6114
Mailing address
1593 DARBY DRIVE, FLORENCE, AL 35630-2746
(256) 767-5522
(256) 767-6114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S614TA062
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051529760
MEDICARE
AL
01
—
51529760
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/17/2006
Last updated
10/20/2021
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