Individual
DR. HOLLY ELIZABETH MOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, PHD
Contact information
Practice address
2200 HENDERSON RD STE A, COLUMBUS, OH 43220-7327
(614) 273-2020
(614) 273-4335
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6221
OH
152W00000X
Optometrist
Primary
OPT.006221
OH
Other
Enumeration date
10/23/2013
Last updated
11/08/2021
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