Timothy D Moore Od PC

NPI #1508999145 in Stroud, Oklahoma

Provider Information

NPI Number: 1508999145
Entity Type: Organization
Organization Name: Timothy D Moore Od PC
Primary Specialty: Optometrist
Enumeration Date: Mar 13, 2007
Last Updated: Feb 25, 2008

Practice Location

Address: 109 W MAIN ST
City: Stroud
State: Oklahoma
ZIP Code: 74079-3607
Phone: (918) 968-3422

Authorized Official

Name: DR. TIMOTHY DEAN MOORE, O.D.
Title: PRESIDENT
Phone: (918) 968-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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