Organization
LEWIS D. MOORE, OD., P.A.
Active
Parent organization
LEWIS D. MOORE, O.D., P.A.
Other names
LEWIS D. MOORE, O.D., P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS D. MOORE, O.D., P.A.
Authorized official
DEBORAH ANN CRUZ (OFFICE MANAGER)
(806) 744-8484
Entity
Organization
Contact information
Practice address
2134 50TH ST, LUBBOCK, TX 79412-2603
(806) 744-8484
Mailing address
2134 50TH ST, LUBBOCK, TX 79412-2603
(806) 744-8484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02542TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO3691
MEDICARE RAILROAD
TX
Enumeration date
09/15/2008
Last updated
03/25/2009
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