Moore Eye Care
Organization Active NPI Optometrist · Manchester, GA
NPI 1891817177 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1891817177
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT000888T (GA)
- Legal business name
- MOORE EYE CARE
- Practice address
- 1180 Warm Springs Hwy
Manchester, GA 31816-1166 - Phone
- (706) 846-2131
- Fax
- (706) 846-3517
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Allan William Moore, O.D.
- Title
- Owner
- Phone
- (706) 846-2131
National Provider Directory
Locations
1180 Warm Springs Hwy
Manchester, GA 31816
Phone (706) 846-2131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPT000888T | GA | Yes |
Addresses
Primary practice location
1180 Warm Springs Hwy
Manchester, GA 31816-1166
Mailing address
1180 Warm Springs Hwy
Manchester, GA 31816-1166
Phone (706) 846-2131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00054369 | Other | GA | RAIL ROAD MEDICARE |
| 00191694L | Medicaid | GA |
Other providers in Manchester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.