Lee R Moore Jr. (NPI# 1306920913, PAC ID# 0345251344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1306920913 |
PAC ID by PECOS | 0345251344 |
Professional Enrollment ID | I20060505000023 |
Full Name | Lee R Moore Jr. |
Address |
311 Prospect Ave Charles Town WV 25414-1137 |
Phone Number | 3047251411 |
Gender | M |
Credential | OD |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1980 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
311 Prospect Ave, Charles Town, WV 25414-1137 | 3047251411 |
Street Address |
311 PROSPECT AVE |
City | CHARLES TOWN |
State | WV |
Zip | 25414-1137 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adrienne Zavala | Family Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
Taylor Dodd Guyer | Nurse Practitioner | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
Garth Bradford Wright | Orthopedic Surgery | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 101, Charles Town, WV 25414-3952 |
George D Harris | Family Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 101, Charles Town, WV 25414-3952 |
Rosemarie C Lorenzetti | Family Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
David Roelkey | Family Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
Amanda Giuliani Mills | Nurse Practitioner | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
Priyankar Sharma | Emergency Medicine | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
Daniel R Grant | Orthopedic Surgery | West Virginia University Medical Corporation | 912 Somerset Blvd, Charles Town, WV 25414-3952 |
Sandra Vader Ross | Nurse Practitioner | University Healthcare Physicians Inc | 912 Somerset Blvd, Suite 102, Charles Town, WV 25414-3952 |
Find all physicians in zip 25414 |
City | CHARLES TOWN |
Zip Code | 25414 |
Specialty | OPTOMETRY |
City + Specialty | CHARLES TOWN + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.