| NPI | 1881064319 |
|---|---|
| Other Name | DR. NICOLE MOFFETT OF OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | NICOLE RENEE MOFFETT Optometrist 301-627-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA 1223) |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2015-09-27 |