Charlie Jim Moore
Optometrist
2481 I 40 W
Amarillo
, Texas 79109
Charlie Jim Moore
Optometrist
2481 I 40 W
Amarillo
, Texas 79109
(806) 463-2907
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Charlie Jim Moore
- 2481 I 40 W
- Amarillo, TX
- Zip : 79109
- Fax : (806) 463-2907
- Phone : (806) 358-2205
Second Address
- Charlie Jim Moore
- 2481 I 40 W
- Amarillo, TX
- Zip : 79109
- Fax : (806) 463-2907
- Phone : (806) 358-2205
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2740TG | TX |
National Provider Identifier
| NPI | 1003868670 |
|---|---|
| Provider Name | Charlie Jim Moore |
| First Address | Amarillo, TX 79109 |
| Second Address | Amarillo, TX 79109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 03/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1331696-07 | (05) | TX |
| T14895 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.