Search › South Carolina › 225100000X
John Moore
NPI 1265849483 · on the registry since 2014
Practice
- Address
- 439 Channel Rd Ste 102
Lake Wylie, SC 29710 - Phone
- (803) 746-7800
- Organisation at this address
- Ivyrehab Focus, Inc.
Professional Eyecare CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 11003 Montgomery Rd, Cincinnati, OH
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X
2251X0800X - Licence states on file
- KY, OH, NC, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina