Individual
GREGORY S. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
100 W MAIN ST STE A, BUCKHANNON, WV 26201-2292
(304) 472-1235
(304) 472-1234
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
843-IODF
FL
152W00000X
Optometrist
Primary
843OD
WV
152W00000X
Optometrist
DA2907
MD
Other
Enumeration date
07/11/2006
Last updated
06/19/2023
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