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Mr. Michael Moore
Optician in Winchester, Virginia
NPI 1073706404

Michael Moore is a Optician based in Winchester, VA and is specialized in Optician. Michael Moore practices in Winchester, VA. The NPI Number for Michael Moore is 1073706404 and holds a License No. 1101001190 (Virginia).

The current practice location address for Michael Moore is 216 W Boscawen St, Winchester, VA and can be reached out via phone at 540-667-2220.

Location: 216 W Boscawen St, Winchester, VA, 22601-4118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073706404
Provider Name
Michael Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
216 W Boscawen St, Winchester, VA, 22601-4118
Phone Number
540-667-2220
Fax Number
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
216 W Boscawen St
City
Winchester
State
Virginia
Zip
22601-4118
Phone Number
540-667-2220
Fax Number
person
Provider Business Mailing Address Details
Address
216 W Boscawen St
City
Winchester
State
Virginia
Zip
22601-4118
Phone Number
540-667-2220
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
1101001190 (Virginia)
Definition
Definition to come...
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