Roger Moore, OD

NPI #1669476214 in Newtown, Connecticut

Provider Information

NPI Number: 1669476214
Entity Type: Individual
Name: Roger Moore, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 10, 2005
Last Updated: Aug 6, 2012

Practice Location

Address: 14 CHURCH HILL RD
City: Newtown
State: Connecticut
ZIP Code: 06470-1640
Phone: (203) 426-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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