Mark D. Moore, OD

Optometrist · Douglas, GA

Individual Active NPI

NPI number 1043328800

Practice location

504 Peterson Ave S
Douglas, GA 31533-5254
Phone
(912) 389-1230
Fax
(912) 389-1260

Open in Google Maps

NPI record

NPI
1043328800
Entity type
Individual (Type 1)
Enumeration date
August 29, 2006
Last updated
March 20, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OPT001723 GA

About Dr. Moore

Mark D. Moore, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 504 Peterson Ave S, Douglas, GA 31533-5254. The NPI number 1043328800 was assigned on August 29, 2006 and the record was last updated on March 20, 2015.

Dr. Moore lists a license in the registry: #OPT001723 (GA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark D. Moore, OD?

The NPI number is 1043328800.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (912) 389-1230.

Where is Dr. Moore located?

504 Peterson Ave S, Douglas, GA 31533-5254.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Optometrist providers in Douglas

All Optometrist providers in Douglas, GA →