Individual
JASON G MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1680 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9405
(919) 938-6101
(919) 938-6103
Mailing address
1680 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9405
(919) 938-6101
(919) 938-6103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
130001291
DE
152W00000X
Optometrist
Primary
2852
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000035048
—
DE
01
—
11320521
CAQH
—
01
—
2363945000
AMERIHEALTH
DE
01
—
5101110PT
BCBS OF DELAWARE
DE
Enumeration date
02/22/2006
Last updated
03/13/2025
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