Organization
SHANNON MOORE, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON JESSICA MOORE O.D. (DOCTOR/OPTOMETRIST)
(540) 347-0555
Entity
Organization
Contact information
Practice address
528 WATERLOO RD, WARRENTON, VA 20186-3011
(540) 347-0555
(540) 347-9198
Mailing address
528 WATERLOO RD STE 100, WARRENTON, VA 20186-3011
(540) 347-0555
(540) 347-9198
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
12/26/2019
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