DR. Scott James Moore, O.D.

NPI #1730177122 in Burton, Michigan

Provider Information

NPI Number: 1730177122
Entity Type: Individual
Name: DR. Scott James Moore, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 10, 2005
Last Updated: Mar 6, 2008

Practice Location

Address: 1235 S CENTER RD
Address 2: SUITE 16
City: Burton
State: Michigan
ZIP Code: 48509-1700
Phone: (810) 744-1950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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