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Contact Information

CHARLIE J MOORE, OD
2481 I 40 W
AMARILLO, TX79109
 Phone: 806-358-2205
 Fax: 806-463-2907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CHARLIE J MOORE · (Male)

NPI Number 1003868670
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/16/2006
Last updated 07/03/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 2740TG
  • TX Medicaid 1331696-07
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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