DR. Jack Moore, OD
NPI #1891063236 in Olympia, Washington
Provider Information
- NPI Number
- 1891063236
- Entity Type
- Individual
- Name
- DR. Jack Moore, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Dec 13, 2011
- Last Updated
- Dec 13, 2011
Practice Location
- Address
- 3700 MARTIN WAY E
- Address 2
- #101
- City
- Olympia
- State
- Washington
- ZIP Code
- 98506-5052
- Phone
- (360) 456-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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