Provider Demographics
NPI:1609056456
Name:MOORE & SCHNEIDER, L.L.P.
Entity Type:Organization
Organization Name:MOORE & SCHNEIDER, L.L.P.
Other - Org Name:LEWIS D MOORE, O.D., OR MEREDITH M. SCHNEIDER, O.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-744-8484
Mailing Address - Street 1:2134 50TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-2603
Mailing Address - Country:US
Mailing Address - Phone:806-744-8484
Mailing Address - Fax:806-762-0325
Practice Address - Street 1:2134 50TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2603
Practice Address - Country:US
Practice Address - Phone:806-744-8484
Practice Address - Fax:806-762-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02542TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0008QTOtherBLUE CROSS BLUE SHIELD
TXDO3669OtherMEDICARE RAILROAD
TX0008QTOtherBLUE CROSS BLUE SHIELD
TXDO3669OtherMEDICARE RAILROAD