Ann Groomer Moore O.D.

NPI 1861463960 - Optometrist - 152W00000X

NPI Details
NPI 1861463960
Gender Female
Enumeration Date 01/28/2006
Last Updated 11/05/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1950 OLD GALLOWS RD
SUITE 520
VIENNA VA, 22182-3990, US
Phone (703) 847-8899
Fax (703) 991-0514
Business Location
8311 BANDFORD WAY
SUITE 105
RALEIGH NC, 27615-2756, US
Phone (919) 870-1880
Fax (919) 847-4509
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 1321
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According to our database, Ann Groomer Moore O.D. NPI is 1861463960, taxonomy code is 152W00000X and license number is 1321, license state is located at North Carolina. Ann Groomer Moore O.D. physically located at 1950 Old Gallows Rd, Vienna VA, 22182-3990. NPI Number Ann Groomer Moore O.D. has the Individual type.

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1861463960 NPI number is provided on an as is basis without warranty of any kind. 1861463960 is maintained by the National Plan & Provider Enumeration System. The contents of Ann Groomer Moore O.D. are for informational purposes only.