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NPI 1679709042

IndividualActive

Andrea Moore, O.D.

NPI 1679709042 · Optometrist · Sandpoint, ID

Provider details

NPI number: 1679709042
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Female
Sole proprietor: No
License: ODP-100265 (ID)

Practice location

710 Superior St

Suite a

Sandpoint, ID 83864-1684

Phone: (208) 263-9000

Fax: (208) 263-9589

More ID providers

Mailing address

710 Superior St

Sandpoint, ID 83864-1684

Registry dates

Enumerated: 2009-05-29
Last updated: 2014-07-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrea Moore, O.D. — NPI 1679709042, Sandpoint, ID | NPI Central