Shannon Jessica Moore in Warrenton - Optometrist
Shannon Jessica Moore - NPI 1689630246
Shannon Jessica Moore is a Optometrist in Warrenton, Virginia. Shannon Jessica Moore practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shannon Jessica Moore is 1689630246. The last update date is 2018-04-06.
Shannon Jessica Moore's current location address is 528 Waterloo Rd, Warrenton, Virginia. You can contact this provider via phone number 5712760237 and fax number 5403479198. The mailing address for Shannon Jessica Moore is 528 Waterloo Rd, Warrenton, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Jessica Moore |
|---|---|
| Address | 528 Waterloo Rd, Warrenton, Virginia |
| Phone Number | 5712760237 |
| Fax Number | 5403479198 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1689630246 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2018-04-06 |
Provider Mailing Address Detail
| Address | 528 Waterloo Rd |
|---|---|
| City | Warrenton |
| State | Virginia (VA) |
| Post Code | 201863011 |
| Phone Number | 5712760237 |
| Fax Number | 5403479198 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 618001510 |
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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 |
|---|---|---|---|
| 11505363 | VA | UHC | |
| 2140911 | VA | MAMSI | |
| 187369 | VA | ANTHEM BCBS | |
| 3991583 | VA | AETNA |
Post Comment/ Review Below
What is the Shannon Jessica Moore's unique identification number?
The Shannon Jessica Moore has been assigned the NPI (National Provider Identifier) Number 1689630246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Shannon Jessica Moore's physical address?
The Shannon Jessica Moore is physically located at 528 Waterloo Rd, in the city of Warrenton, VA, with the postal code 201863011.
What is Shannon Jessica 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 Shannon Jessica 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 originally issue the 1689630246 to Shannon Jessica Moore?
The Centers for Medicare & Medicaid Services originally issued the 1689630246 to Shannon Jessica Moore on 2006-04-24.
As of what date was the information regarding Shannon Jessica Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon Jessica Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-04-06.
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