NPI 1922357136

Moore Vision Center North, PLLC

Organisation Optometrist South Charleston, WV

Practice location

Address: 2700 Mountaineer Blvd, South Charleston, WV 25309-9442
Phone: (304) 744-2713
Fax: (304) 744-0704
Mailing address: 467 Main St Suite 401, Madison, WV 25130-2200

Authorised official

Name: Marty B Moore
Title: Optometrist
Phone: (304) 369-9100

Registered specialties

Optometrist Primary

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

Other Optometrist providers in West Virginia →

Registry record

NPI: 1922357136
Entity type: Organization
NPI issued: 4 Sep 2012
Record last updated: 4 Sep 2012

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.