IndividualActive
Ajanae Moore
NPI 1093301020 · Technician/Technologist · Bingham Farms, MI
Provider details
- NPI number
- 1093301020
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Phone: (248) 712-4266
Approximate (ZIP-level) locationGet directions
Mailing address
32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Registry dates
- Enumerated
- 2020-12-14
- Last updated
- 2020-12-14
- Certified
- 2020-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.