Active NPIIndividual provider

Dr. Michelle E Moore, O D

Optometrist in Bristol, Connecticut

NPI Number1194795971
Practice location
683 Broad St, Bristol, CT 06010-6662
Fax
—
Last updated
December 7, 2007

Michelle Elizabeth Moore is an Optometrist based in Bristol, CT. Michelle Elizabeth Moore practices in Bristol, CT and has the professional credentials of O D. The NPI Number for Michelle Elizabeth Moore is 1194795971 and holds a License No. CT2482 (CT). The current practice location address for Michelle Elizabeth Moore is 683 Broad St, Bristol, CT 06010-6662 and can be reached out via phone at 860-583-2020.

Provider Profile Details

NPI Number
1194795971
Provider Name
Michelle Elizabeth Moore
Credential
O D
Provider Entity Type
Individual
Gender
Female
Address
683 Broad St, Bristol, CT 06010-6662
Phone Number
860-583-2020
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
January 25, 2006
Last Update Date
December 7, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
683 Broad St
Bristol, CT 06010-6662
Zip
06010-6662
Phone Number
860-583-2020
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
11 Crown St
Plainville, CT 06062-2214
City
Plainville
State
CT
Zip
06062-2214
Phone Number
860-793-1330

License Information

License Number
CT2482
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Optometrists near Bristol, CT

View all Optometrists in Bristol →

Frequently Asked Questions

What is the NPI number of Dr. Michelle E Moore, O D?

The NPI number of Dr. Michelle E Moore, O D is 1194795971. It was assigned on January 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michelle E Moore, O D?

Dr. Michelle E Moore, O D is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number CT2482.

Where does Dr. Michelle E Moore, O D practice?

The practice location is 683 Broad St, Bristol, CT 06010-6662. The office can be reached at 860-583-2020 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194795971 directly on the NPPES registry website.

Browse related providers