Thomas K Moore
Ophthalmologist
2001 Coolidge Rd
East Lansing
, Michigan 48823-1378
Thomas K Moore
Ophthalmologist
2001 Coolidge Rd
East Lansing
, Michigan 48823-1378
(517) 337-1779
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Thomas K Moore
- 2001 Coolidge Rd
- East Lansing, MI
- Zip : 48823-1378
- Fax : (517) 337-1779
- Phone : (517) 337-1668
Second Address
- Thomas K Moore
- 2001 Coolidge Rd
- East Lansing, MI
- Zip : 48823-1378
- Fax : (517) 337-1779
- Phone : (517) 337-1668
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 4301047643 | MI |
National Provider Identifier
| NPI | 1013992247 |
|---|---|
| Provider Name | Thomas K Moore |
| First Address | East Lansing, MI 48823-1378 |
| Second Address | East Lansing, MI 48823-1378 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/12/2005 |
| Last Update Date | 03/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1614148 | (05) | MI |
| 180011842 | RAILROAD MEDICARE (01) | MI |
| 200000002424 | PHPMM (01) | MI |
| B45964 | (02) | MI |
| TM047643 | STATE LICENSE NUMBER (01) | MI |
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.