DR. Michael Van Moore, O.D.

NPI #1093818023 in Lubbock, Texas

Provider Information

NPI Number: 1093818023
Entity Type: Individual
Name: DR. Michael Van Moore, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 6, 2006
Last Updated: May 30, 2008

Practice Location

Address: 2132 50TH ST
City: Lubbock
State: Texas
ZIP Code: 79412-2603
Phone: (806) 747-1635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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