DR. Benjamin Alan Moore, O.D.

NPI #1548459498 in John Day, Oregon

Provider Information

NPI Number: 1548459498
Entity Type: Individual
Name: DR. Benjamin Alan Moore, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 16, 2007
Last Updated: Jan 26, 2009

Practice Location

Address: 401 W MAIN ST
Address 2: SUITE A
City: John Day
State: Oregon
ZIP Code: 97845-1075
Phone: (541) 575-1819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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