Roger Moore, OD
Optometrist in Newtown, Connecticut
1669476214- Practice location
- 14 Church Hill RD, Newtown, CT 06470-1640
- Phone
- 203-426-2727
- Fax
- 203-426-5113
- Last updated
- August 6, 2012
Roger Moore is an Optometrist based in Newtown, CT. Roger Moore practices in Newtown, CT and has the professional credentials of OD. The NPI Number for Roger Moore is 1669476214 and holds a License No. 950 (CT). The current practice location address for Roger Moore is 14 Church Hill RD, Newtown, CT 06470-1640 and can be reached out via phone at 203-426-2727 and via fax at 203-426-5113.
Provider Profile Details
- NPI Number
- 1669476214
- Provider Name
- Roger Moore
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14 Church Hill RD, Newtown, CT 06470-1640
- Phone Number
- 203-426-2727
- Fax Number
- 203-426-5113
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 10, 2005
- Last Update Date
- August 6, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Church Hill RD
Newtown, CT 06470-1640 - City
- Newtown
- State
- Connecticut
- Zip
- 06470-1640
- Phone Number
- 203-426-2727
- Fax Number
- 203-426-5113
Provider Business Mailing Address Details
- Address
- 14 Church Hill RD
Newtown, CT 06470-1640 - City
- Newtown
- State
- CT
- Zip
- 06470-1640
- Phone Number
- 203-426-2727
- Fax Number
- 203-426-5113
License Information
- License Number
- 950
- License State
- CT
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Roger Moore, OD?
The NPI number of Roger Moore, OD is 1669476214. It was assigned on June 10, 2005 and is currently active in the NPPES registry.
What is the specialty of Roger Moore, OD?
Roger Moore, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 950.
Where does Roger Moore, OD practice?
The practice location is 14 Church Hill RD, Newtown, CT 06470-1640. The office can be reached at 203-426-2727 (phone) or 203-426-5113 (fax).
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 1669476214 directly on the NPPES registry website.