Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA DYAN MOORE, O.D.
Active Sole ProprietorOptometrist · SUTTON, NE
Registration Details
- NPI Number
- 1043207194
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2005 (20.578560859718 yrs)
- Last Updated
- Jul 26, 2011
- License
-
1183 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 N SAUNDERS AVESUTTON, NE, 689792511Browse NE providers · Browse ZIP 68979
- Phone
- 4023666966
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.