Individual
DR. DAVID NEIL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2235 RIDGEMOOR CT, BURTON, MI 48509-1391
(810) 742-8618
(810) 515-1219
Mailing address
2235 RIDGEMOOR CT, BURTON, MI 48509-1391
(810) 742-8618
(810) 515-1219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002864
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0983566
—
MI
01
—
900B550570
BCBS
MI
Enumeration date
10/10/2005
Last updated
03/07/2023
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