Jessica Dyan Moore, O.D.

NPI #1043207194 in Sutton, Nebraska

Provider Information

NPI Number: 1043207194
Entity Type: Individual
Name: Jessica Dyan Moore, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 4, 2005
Last Updated: Jul 26, 2011

Practice Location

Address: 210 N SAUNDERS AVE
City: Sutton
State: Nebraska
ZIP Code: 68979-2511
Phone: (402) 366-6966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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