Michael D Moore Od Ps Inc

LBN: Michael D Moore Od Ps Inc
Michael D Moore Od Ps Inc is an health care organization with primary practice located at 2600 Martin Way E Ste C, Olympia WA 98506-4974. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Michael D Moore Od Ps Inc can be contacted via phone (360) 357-7899, or through Moore, Michael D via phone (360) 357-7899.

Contact Information

Primary practice address
2600 Martin Way E Ste C Olympia WA 98506-4974
Phone: (360) 357-7899
Fax: (360) 357-6495
Website:
Map and Directions
Authorized official contact:
Name: Moore, Michael D Doctor of Optometry (OD)
Phone: (360) 357-7899

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1010 Washington

Profile Details

NPI number 1326213992
LBN Legal business name Michael D Moore Od Ps Inc
DBA Doing business as
Authorized official Moore, Michael D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2008
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326213992 NPPES
Washington Other 0149388 L & I
Washington Other 1770560708 L & I
Washington MEDICAID 2631703 L & I

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