Jason W. Moore Optometrist LLC

NPI #1316181498 in Rochester, New York

Provider Information

NPI Number: 1316181498
Entity Type: Organization
Organization Name: Jason W. Moore Optometrist LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 21, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: 1966 MONROE AVE
City: Rochester
State: New York
ZIP Code: 14618-1920
Phone: (585) 271-7613

Authorized Official

Name: DR. JASON MOORE, O.D.
Title: OPTOMETRIST
Phone: (585) 271-7613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist	152W00000X	Primary

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