Moore, James Stephen

Moore, James Stephen is an individual health care provider with primary practice located at 421 Marion Ave , Mccomb MS 39648-2709. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Moore, James Stephen can be contacted via phone (601) 249-0083.

Contact Information

Primary practice address
421 Marion Ave Mccomb MS 39648-2709
Phone: (601) 249-0083
Fax: (601) 249-0309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 566 Mississippi

Profile Details

NPI number 1700834728
LBN Legal business name Moore, James Stephen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700834728 NPPES
Mississippi MEDICAID 01729377
Mississippi Other 5627310001

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