Organization
MOORE EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE E. MOORE O.D. (OWNER)
(860) 583-2020
Entity
Organization
Contact information
Practice address
683 BROAD ST, BRISTOL, CT 06010-6662
(860) 583-2020
(860) 582-8283
Mailing address
683 BROAD ST, BRISTOL, CT 06010-6662
(860) 583-2020
(860) 582-8283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004397007
—
CT
01
—
090000683CT01
BLUECROSS
CT
01
—
090000803CT01
BLUECROSS
CT
01
—
090002482CT01
BLUECROSS
CT
Enumeration date
07/17/2007
Last updated
10/11/2022
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