NPI 1043532153

Moore Vision Center, PLLC

Organisation Optometrist Madison, WV

Practice location

Address: 467 Main St Suite 401, Madison, WV 25130-2200
Phone: (304) 654-4803

Authorised official

Name: Marty Braxton Moore
Title: Optometrist
Phone: (304) 654-4803

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1064-OD (WV)

Other Optometrist providers in West Virginia →

Registry record

NPI: 1043532153
Entity type: Organization
NPI issued: 17 Feb 2010
Record last updated: 17 Feb 2010

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.