Individual
DR. CHRISTOPHER J MOSHOURES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0868
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09626
BLUE CROSS BLUE SHIELD OF NC
NC
01
—
1770537268
RAILROAD MEDICARE
NC
05
—
890158B
—
NC
Enumeration date
05/20/2006
Last updated
01/29/2009
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