Organization
JIM MOORE, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM MOORE OD, PC (OWNER)
(806) 356-6868
Entity
Organization
Contact information
Practice address
3635 S SONCY RD, AMARILLO, TX 79119-6402
(806) 356-6868
(806) 351-0120
Mailing address
3635 S SONCY RD, AMARILLO, TX 79119-6402
(806) 356-6868
(806) 351-0120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2740TG
TX
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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