Provider Demographics
NPI:1093718736
Name:MOORE, JAMES CURTIS (OD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CURTIS
Last Name:MOORE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-3012
Mailing Address - Country:US
Mailing Address - Phone:336-248-2237
Mailing Address - Fax:336-249-7223
Practice Address - Street 1:202 W CENTER ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-3012
Practice Address - Country:US
Practice Address - Phone:336-248-2237
Practice Address - Fax:336-249-7223
Is Sole Proprietor?:No
Enumeration Date:2005-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1197152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7290326002OtherCIGNA
NCNC1197OtherEYEMED
NC7909645Medicaid
NC2202100OtherUHC
NC09645OtherBCBS
NC2202100OtherUHC
NC246481CMedicare ID - Type Unspecified