Organization · Type 2 NPI
Alvaro J Moreno Od PC
Clinic/Center · Petal, MS
NPI number
1013085935
Active
Practice location
598 E Central Ave
Petal, MS 39465-2957
Fax (601) 909-6104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 610 (MS) |
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
About NPI 1013085935
Alvaro J Moreno Od PC's National Provider Identifier is 1013085935, issued on Nov 30, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Petal, MS. The record was last updated on Sep 8, 2020.