Stephen L Moon is a Optometrist in Fairmont, . Stephen L Moon practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Stephen L Moon is 1558393975. The last update date is 2018-04-10.
Stephen L Moon's current location address is Po Box 1112, Fairmont, . You can contact this provider via phone number 3043660700 and fax number 3043678766. The mailing address for Stephen L Moon is Po Box 1112, Fairmont, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen L Moon |
|---|---|
| Address | Po Box 1112, Fairmont, |
| Phone Number | 3043660700 |
| Fax Number | 3043678766 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1558393975 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2018-04-10 |
Provider Mailing Address Detail
| Address | Po Box 1112 |
|---|---|
| City | Fairmont |
| State | (WV) |
| Post Code | 265551112 |
| Phone Number | 3043660700 |
| Fax Number | 3043678766 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 783D |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 227498 | WV | OPTIMUM CHOICE | |
| V27522 | WV | WV WORKER'S COMP | |
| 505817 | WV | NATIONAL CAPITAL PPO | |
| 1718661 | WV | MT STATE BC/BS | |
| 4613017 | WV | AETNA | |
| 150898000 | WV | -- | |
| 410025059 | WV | RR MEDICARE | |
| FQ783 | WV | HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stephen L Moon by the Centers for Medicare & Medicaid Services?
The Stephen L Moon has been assigned the NPI (National Provider Identifier) 1558393975 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Stephen L Moon's physical address?
The Stephen L Moon is physically located at Po Box 1112, in the city of Fairmont, WV, with the postal code 265551112.
What is Stephen L Moon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephen L Moon is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When was the Stephen L Moon's 1558393975 issued?
The Stephen L Moon's 1558393975 was issued on 2006-07-07.
When was the information regarding Stephen L Moon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stephen L Moon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-04-10.