Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DOUGLAS MOORE, O. D.
Active Sole ProprietorDR. MARK DOUGLAS MOORE, O. D. is a Optometrist healthcare provider located in WICHITA, Kansas. NPI 1346338530 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WICHITA, KS
Registration Details
- NPI Number
- 1346338530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2006 (19.838170847555 yrs)
- Last Updated
- Mar 8, 2012
- License
-
1367 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2020 N TYLER RD STE 124WICHITA, KS, 672124916Browse KS providers · Browse ZIP 67212
- Phone
- 3167290083
- Fax
- 3167290052
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID L WALDIE | O.D. | 1982600821 |
| DR. TIMOTHY J. MASON | O.D. | 1992703573 |
| DR. DEENA D SANDALL | OD | 1568454213 |
| JAMES R PACE | O.D. | 1225022635 |
| DR. RUSSELL WAYNE ICKE | OD | 1134113319 |
| WILLIAM CHRISTOPHER ARENSBERG | O.D. | 1346236734 |
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.