Michael J Moran in Watertown - Contact Lens

Michael J Moran - NPI 1669470589

Michael J Moran is a Contact Lens in Watertown, South Dakota. Michael J Moran practices all healthcare services and medical treatments related to Contact Lens. The NPI Number for Michael J Moran is 1669470589. The last update date is 2008-04-24.

Michael J Moran's current location address is 705 14th Ave Ne, Watertown, South Dakota. You can contact this provider via phone number 6058867722 and fax number 6058867723. The mailing address for Michael J Moran is 705 14th Ave Ne, Watertown, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael J Moran
Address 705 14th Ave Ne, Watertown, South Dakota
Phone Number 6058867722
Fax Number 6058867723
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1669470589
Provider Enumeration Date 2005-07-13
Last Updated Date 2008-04-24

Provider Mailing Address Detail

Address 705 14th Ave Ne
City Watertown
State South Dakota (SD)
Post Code 572016827
Phone Number 6058867722
Fax Number 6058867723

Provider's Primary Taxonomy Detail

Speciality Contact Lens
Taxonomy 156Fc0800X
Licence No 4579
Definition:
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6301483 SD --
21438 SIOUX VALLEY HEALTH

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FAQs about Michael J Moran

What is the unique 10-digit identifier code assigned to Michael J Moran by the Centers for Medicare & Medicaid Services?

The Michael J Moran has been issued the NPI (National Provider Identifier) 1669470589 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Michael J Moran is physically located?

The Michael J Moran is situated at the following address: 705 14Th Ave Ne, Watertown, SD 572016827.

What is the Michael J Moran's specialty and taxonomy code?

The Michael J Moran's specialty is Contact Lens, and the corresponding taxonomy code is 156Fc0800X.

When did Michael J Moran receive its 1669470589 assignment?

The Michael J Moran was assigned its 1669470589 on 2005-07-13, which is the date when this unique identifier was issued to the organization.

When was the information related to Michael J Moran most recently updated or refreshed?

The details pertaining to the Michael J Moran, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-24.

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