Mark D Moore is a Optometrist in Douglas, Georgia. Mark D Moore practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark D Moore is 1043328800. The last update date is 2015-03-20.
Mark D Moore's current location address is 504 Peterson Ave S, Douglas, Georgia. You can contact this provider via phone number 9123891230 and fax number 9123891260. The mailing address for Mark D Moore is 504 Peterson Ave S, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark D Moore |
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Address | 504 Peterson Ave S, Douglas, Georgia |
Phone Number | 9123891230 |
Fax Number | 9123891260 |
Sole Proprietor | Y |
Credentials | OD |
NPI Number Detail
NPI Number | 1043328800 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2015-03-20 |
Provider Mailing Address Detail
Address | 504 Peterson Ave S |
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City | Douglas |
State | Georgia (GA) |
Post Code | 315335254 |
Phone Number | 9123891230 |
Fax Number | 9123891260 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | OPT001723 |
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 |
---|---|---|---|
457498953D | GA | -- | |
GRP7442 | GA | MEDICARE PTAN |
Post Comment/ Review Below
What is the Mark D Moore's unique identification number?
The Mark D Moore has been assigned the NPI (National Provider Identifier) Number 1043328800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mark D Moore is physically located?
The Mark D Moore is physically situated at the following address: 504 Peterson Ave S, Douglas, GA, 315335254.
What is the Mark D Moore's area of specialization and corresponding taxonomy classification?
The Mark D Moore's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1043328800 to Mark D Moore?
The Centers for Medicare & Medicaid Services assigned the 1043328800 to Mark D Moore on 2006-08-29.
When was the Mark D Moore's information last updated?
The Mark D Moore's information was last updated on 2015-03-20.