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ROGER MOORE OD NPI 1669476214


NPI Information

NPI: 1669476214
Provider Name: ROGER MOORE, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
14 CHURCH HILL RD
NEWTOWN, CT
ZIP 06470
Phone: (203) 426-2727
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Roger Moore, OD is an optometrist in Newtown, CT. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Roger Moore, OD NPI is 1669476214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14 CHURCH HILL RD
NEWTOWN, CT
ZIP 06470-640
Phone: (203) 426-2727
Fax: (203) 426-5113

The enumeration date for this NPI number is 6/10/2005 and was last updated on 8/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist950CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1410000331MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
20123880001OTHERCONNECTICUTMEDICARE - DME
34321240OTHERAETNA
4P620522OTHERCONNECTICUTOXFORD
5090000950CT01OTHERANTHEM BC
6004067195MEDICAIDCONNECTICUT
7T22697MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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