Organization
MOORE VISION CENTER NORTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY B MOORE O.D. (OPTOMETRIST)
(304) 369-9100
Entity
Organization
Contact information
Practice address
2700 MOUNTAINEER BLVD, SOUTH CHARLESTON, WV 25309-9442
(304) 744-2713
(304) 744-0704
Mailing address
467 MAIN ST, SUITE 401, MADISON, WV 25130-2200
(304) 369-9100
(304) 369-9105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1064OD
WV
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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