NPI 1326279217

Marty Braxton Moore, OD

Practitioner Optometrist South Charleston, WV

Practice location

Address: 80 Technology Dr, South Charleston, WV 25309-8513
Phone: (304) 306-2000
Fax: (304) 741-8067

Registered specialties

Optometrist Primary

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

Other Optometrist providers in West Virginia →

Registry record

NPI: 1326279217
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2009
Record last updated: 24 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.