Doctor Name: | DR. TORY W MOORE |
NPI Number: | 1336134980 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OD |
License Number: | 4305 T G |
Business Practice Address: | 600 E 1st St Dumas, TX - 790293216 |
Business Phone Number: | 8069352020 |
Business Fax Number: | 8069349908 |
Mailing Address: | 600 E 1st St, DUMAS |
State: | TX |
Postal Code: | 790293216 |
Phone Number: | 8069352020 |
Fax Number: | 8069349908 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 06/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 4305 T G |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |