Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EDWARD MOORE, O.D.
ActiveDR. MARK EDWARD MOORE, O.D. is a Optometrist healthcare provider located in PETERSBURG, Virginia. NPI 1730289935 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PETERSBURG, VA
Registration Details
- NPI Number
- 1730289935
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2006 (19.88098423524 yrs)
- Last Updated
- Jun 29, 2017
- License
-
0618001005 (VA)
Practice Information
- Address
-
3333 S CRATER RD STE 2DPETERSBURG, VA, 238059276Browse VA providers · Browse ZIP 23805
- Phone
- 8047323937
- Fax
- 8047336005
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PETERSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| DR. AJIT D TIWARI | OD | 1053319293 |
| DR. PATRICIA LOUISE TESTAMARK | OD | 1902808710 |
| DR. ROBERT JOAQUIN FOSTER | OD | 1447511001 |
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.