Individual
WILLIAM H MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
615 LAURENS ST, CAMDEN, SC 29020-3523
(803) 432-9874
(803) 432-8441
Mailing address
P.O. BOX 1259, CAMDEN, SC 29021-1259
(803) 713-8350
(803) 713-8433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0596
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410036297
RAILROAD MEDICARE PIN
SC
01
—
80263
MEDCOST
—
05
—
D05965
—
SC
Enumeration date
05/17/2006
Last updated
02/24/2012
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