Individual
DR. LAUREN THERESA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
105 E MAIN ST, WESTFIELD, NY 14787-1306
(716) 793-2020
Mailing address
105 E MAIN ST, WESTFIELD, NY 14787-1306
(716) 793-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
RT008419-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04524503
—
NY
05
—
103132650
—
PA
Enumeration date
06/28/2016
Last updated
07/24/2025
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