Whalio Doctors

NPI 1134940505

Moore Family Eyecare PLLC

Organisation Optometrist Saint Paul, MN

Practice location

Address
1515 County Road B W, Saint Paul, MN 55113-6005
Phone
(231) 645-0593
Fax
(612) 486-7789

Authorised official

Name
Jack Moore
Title
Authorized Official
Phone
(231) 645-0593

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X

Registry record

NPI
1134940505
Entity type
Organization
NPI issued
18 Oct 2024
Record last updated
18 Oct 2024

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.