Diana Mckenzie Moore in Benton - Optometrist

Diana Mckenzie Moore - NPI 1093768806

Diana Mckenzie Moore is a Optometrist in Benton, Arkansas. Diana Mckenzie Moore practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Diana Mckenzie Moore is 1093768806. The last update date is 2007-07-08.

Diana Mckenzie Moore's current location address is 6925 Worth Ave E, Benton, Arkansas. You can contact this provider via phone number 5018479898 and fax number 5018472599. The mailing address for Diana Mckenzie Moore is 6925 Worth Ave E, Benton, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Diana Mckenzie Moore
Address 6925 Worth Ave E, Benton, Arkansas
Phone Number 5018479898
Fax Number 5018472599
Sole Proprietor N
Credentials O.D.,P.A.

NPI Number Detail

NPI Number 1093768806
Provider Enumeration Date 2006-05-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6925 Worth Ave E
City Benton
State Arkansas (AR)
Post Code 720156797
Phone Number 5018479898
Fax Number 5018472599

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2379
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

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FAQs about Diana Mckenzie Moore

What is the unique 10-digit identifier code issued to Diana Mckenzie Moore by the Centers for Medicare & Medicaid Services?

The Diana Mckenzie Moore has been assigned the NPI (National Provider Identifier) 1093768806 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Diana Mckenzie Moore?

The Diana Mckenzie Moore is situated at 6925 Worth Ave E, in the city of Benton, state of AR, with the zip code 720156797.

What is Diana Mckenzie Moore's specialized field of practice, and what is the corresponding taxonomy classification code?

The Diana Mckenzie Moore's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.

On what date did the Diana Mckenzie Moore receive the assignment of its 1093768806 from the Centers for Medicare & Medicaid Services?

The Diana Mckenzie Moore was issued its 1093768806 by the Centers for Medicare & Medicaid Services on 2006-05-19.

As of what date were the details pertaining to Diana Mckenzie Moore last refreshed?

The information related to the Diana Mckenzie Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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