DR. Lee Richard Moore JR., O.D.
NPI #1306920913 in Charles Town, West Virginia
Provider Information
- NPI Number
- 1306920913
- Entity Type
- Individual
- Name
- DR. Lee Richard Moore JR., O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Apr 23, 2008
Practice Location
- Address
- 311 PROSPECT AVE
- City
- Charles Town
- State
- West Virginia
- ZIP Code
- 25414-1137
- Phone
- (304) 725-1411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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