Individual
SHANNON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
340 WOOD RD STE 2020, BRAINTREE, MA 02184-2404
(781) 794-2200
Mailing address
340 WOOD RD, BRAINTREE, MA 02184
(781) 794-2200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5232
MA
Other
Enumeration date
07/21/2017
Last updated
09/18/2017
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