Jessica Dyan Moore in Sutton - Optometrist
Jessica Dyan Moore - NPI 1043207194
Jessica Dyan Moore is a Optometrist in Sutton, Nebraska. Jessica Dyan Moore practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jessica Dyan Moore is 1043207194. The last update date is 2011-07-26.
Jessica Dyan Moore's current location address is Po Box 75, Sutton, Nebraska. You can contact this provider via phone number 4023666966. The mailing address for Jessica Dyan Moore is Po Box 75, Sutton, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Dyan Moore |
|---|---|
| Address | Po Box 75, Sutton, Nebraska |
| Phone Number | 4023666966 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1043207194 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2011-07-26 |
Provider Mailing Address Detail
| Address | Po Box 75 |
|---|---|
| City | Sutton |
| State | Nebraska (NE) |
| Post Code | 689790075 |
| Phone Number | 4023666966 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1183 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22-00509 | NE | UNITED HEALTH CARE | |
| 410048038 | NE | RAILROAD MEDICARE | |
| 36383 | NE | BLUE CROSS BLUE SHIELD | |
| 183380002 | NE | DMERC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jessica Dyan Moore by the Centers for Medicare & Medicaid Services?
The Jessica Dyan Moore has been issued the NPI (National Provider Identifier) 1043207194, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jessica Dyan Moore is physically located?
The Jessica Dyan Moore is situated at the following address: Po Box 75, Sutton, NE 689790075.
What is Jessica Dyan Moore'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 Jessica Dyan Moore is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043207194 to Jessica Dyan Moore?
The Jessica Dyan Moore received its 1043207194 assignment from the Centers for Medicare & Medicaid Services on 2005-10-04.
When was the information regarding Jessica Dyan Moore most recently updated?
The details pertaining to the Jessica Dyan Moore, including its address, specialty, and other relevant information, were last refreshed on 2011-07-26.
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