Provider Demographics
NPI:1033309851
Name:MOIR, ALLISON CLAIRE (OD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:CLAIRE
Last Name:MOIR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALI
Other - Middle Name:C
Other - Last Name:MOIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:7508 MEANY AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-5178
Mailing Address - Country:US
Mailing Address - Phone:661-589-9400
Mailing Address - Fax:661-589-9499
Practice Address - Street 1:7508 MEANY AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-5178
Practice Address - Country:US
Practice Address - Phone:661-589-9400
Practice Address - Fax:661-589-9400
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK262152W00000X
CAOPT14115TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist