Individual
JASON G MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
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
Update your record
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