NPI 1013085935

Alvaro J Moreno OD PC

Organisation Clinic/Center Petal, MS

Practice location

Address: 598 E Central Ave, Petal, MS 39465-2957
Phone: (601) 450-3937
Fax: (601) 909-6104

Authorised official

Name: Alvaro J Moreno
Title: Owner
Phone: (601) 549-1553

Registered specialties (2)

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Mississippi →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 610 (MS)

Other Optometrist providers in Mississippi →

Registry record

NPI: 1013085935
Entity type: Organization
NPI issued: 30 Nov 2006
Record last updated: 8 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.