DR. Amanda Leanne Moore-Elcyzyn, O.D.

NPI #1780612499 in Benton, Arkansas

Provider Information

NPI Number: 1780612499
Entity Type: Individual
Name: DR. Amanda Leanne Moore-Elcyzyn, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 29, 2006
Last Updated: Sep 9, 2020

Practice Location

Address: 113 W CARPENTER ST
City: Benton
State: Arkansas
ZIP Code: 72015-3317
Phone: (501) 778-2363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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