NPI 1073706404

Michael Moore

Practitioner Optician Winchester, VA

Practice location

Address: 216 W Boscawen St, Winchester, VA 22601-4118
Phone: (540) 667-2220

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1101001190 (VA)

Other Technician/Technologist providers in Virginia →

Registry record

NPI: 1073706404
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2007
Record last updated: 20 Aug 2007

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.