Moore, Tory W
Moore, Tory W is an sole proprietor health care provider with primary practice located at 1301 E 1St St , Dumas TX 79029-3567. He recently has 2 registered licenses in different health care specialties including Suppliers / Eyewear Supplier (Equipment, not the service), Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Moore, Tory W can be contacted via phone (806) 935-2020.Contact Information
Primary practice address
1301 E 1St St
Dumas TX 79029-3567
Phone: (806) 935-2020
Fax: (806) 934-9908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 4305 T G | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4305TG | Texas |
Profile Details
| NPI number | 1336134980 |
|---|---|
| LBN Legal business name | Moore, Tory W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Nov 8th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336134980 | NPPES |
| Texas | MEDICAID | 019278301 | |
| Texas | MEDICAID | 019278302 |
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