| Dr Benjamin Alan Moore, OD | |
|
401 W Main St, Suite A, John Day, OR 97845-1075 | |
| (541) 575-1819 | |
| (541) 575-0965 |
| Full Name | Dr Benjamin Alan Moore |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 401 W Main St, John Day, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548459498 | NPI | - | NPPES |
| 023687 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3268ATI (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Alan Moore, OD 401 W Main St, Suite A, John Day, OR 97845-1075 Ph: (541) 575-1819 | Dr Benjamin Alan Moore, OD 401 W Main St, Suite A, John Day, OR 97845-1075 Ph: (541) 575-1819 |
David Michael Archibald, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 W Main St Ste A, John Day, OR 97845 Phone: 541-575-1819 Fax: 541-575-0965 | |
Eye Care Of John Day Optometrist Medicare: Medicare Enrolled Practice Location: 401 W Main St Ste A, John Day, OR 97845 Phone: 541-575-1819 Fax: 541-575-0965 |