Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELSEY MOORE, OD
Active Sole ProprietorDR. KELSEY MOORE, OD is a Optometrist healthcare provider located in PLYMOUTH, Minnesota. NPI 1154844017 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PLYMOUTH, MN
Registration Details
- NPI Number
- 1154844017
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2017 (9.0735000312425 yrs)
- Last Updated
- Feb 5, 2023
- Licenses
-
3563 (MN)3563 (MN)3563 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10600 OLD COUNTY ROAD 15PLYMOUTH, MN, 554416200Browse MN providers · Browse ZIP 55441
- Phone
- 7635458850
- Fax
- 7635441257
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Vision Therapy Optometrist
- Additional Specialty
- Optometrist
Other Optometrist Providers in PLYMOUTH, MN
| Name | Credential | NPI |
|---|---|---|
| TANYA S ERNTSON | OD | 1700864279 |
| DR. KRISTINA M BORESPUPP | OD | 1831159680 |
| DR. DONALD H SEALOCK | OD | 1427018266 |
| DR. THOMAS J BRYAN | OD | 1285695528 |
| DR. TIMOTHY J HURLEY | OD | 1518928845 |
| DR. ANTHONY CHARLES TRAVERSE | O.D. | 1255431961 |
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.