Organization
MOORE EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN WILLIAM MOORE O.D. (OWNER)
(706) 846-2131
Entity
Organization
Contact information
Practice address
1180 WARM SPRINGS HWY, MANCHESTER, GA 31816-1166
(706) 846-2131
(706) 846-3517
Mailing address
1180 WARM SPRINGS HWY, MANCHESTER, GA 31816-1166
(706) 846-2131
(706) 846-3517
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000888T
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00191694L
—
GA
01
—
P00054369
RAIL ROAD MEDICARE
GA
Enumeration date
04/06/2007
Last updated
12/04/2007
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