Moore, Karin Rodriguez

Moore, Karin Rodriguez is an individual health care provider with primary practice located at 2410 Us Highway 411 S , Maryville TN 37801-8629. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Moore, Karin Rodriguez can be contacted via phone (865) 681-8267.

Contact Information

Primary practice address
2410 Us Highway 411 S Maryville TN 37801-8629
Phone: (865) 681-8267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2179 Tennessee

Profile Details

NPI number 1043248735
LBN Legal business name Moore, Karin Rodriguez
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jan 31st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043248735 NPPES
Tennessee MEDICAID 3943794
Tennessee Other P00264124
Tennessee Other 4121846

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