Organization
MOORE VISION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY BRAXTON MOORE O.D. (OPTOMETRIST)
(304) 369-9100
Entity
Organization
Contact information
Practice address
467 MAIN ST STE 401, MADISON, WV 25130-2200
(304) 369-9100
(304) 369-9105
Mailing address
467 MAIN ST STE 401, MADISON, WV 25130-2200
(304) 369-9100
(304) 369-9105
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1064-OD
WV
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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