Organization
DR. E. JACK MOOMEY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELTON JACK MOOMEY OD (OWNER)
(706) 869-1800
Entity
Organization
Contact information
Practice address
127 S BELAIR RD, MARTINEZ, GA 30907-9111
(706) 869-1800
Mailing address
127 S BELAIR RD, MARTINEZ, GA 30907-9111
(706) 869-1800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000709
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT000709
OPTOMETRY LIC. NO.
GA
Enumeration date
02/22/2007
Last updated
08/22/2020
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