Provider Demographics
NPI:1063643583
Name:REIN-MOORE, MONICA JUNEA (OD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:JUNEA
Last Name:REIN-MOORE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 N TOPEKA AVE
Mailing Address - Street 2:PO BOX 503
Mailing Address - City:NESS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67560-1660
Mailing Address - Country:US
Mailing Address - Phone:785-798-3730
Mailing Address - Fax:785-798-3736
Practice Address - Street 1:405 N TOPEKA AVE
Practice Address - Street 2:
Practice Address - City:NESS CITY
Practice Address - State:KS
Practice Address - Zip Code:67560-1660
Practice Address - Country:US
Practice Address - Phone:785-798-3730
Practice Address - Fax:785-798-3736
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1847152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist