Organization
MOORE OPTOMETRY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D MOORE O.D. (OPTOMETRIST)
(912) 383-1784
Entity
Organization
Contact information
Practice address
504 PETERSON AVE S, DOUGLAS, GA 31533-5254
(912) 389-1230
(912) 389-1260
Mailing address
504 PETERSON AVE S, DOUGLAS, GA 31533-5254
(912) 389-1230
(912) 389-1260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457498953D
—
GA
Enumeration date
03/29/2007
Last updated
02/05/2025
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