Provider Demographics
NPI:1891005542
Name:MOORE, CLAIRE FIELDING (OD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:FIELDING
Last Name:MOORE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1346 GILFORD POINT LN
Mailing Address - Street 2:
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-5300
Mailing Address - Country:US
Mailing Address - Phone:918-306-0980
Mailing Address - Fax:
Practice Address - Street 1:1346 GILFORD POINT LN
Practice Address - Street 2:
Practice Address - City:CHAMPIONS GATE
Practice Address - State:FL
Practice Address - Zip Code:33896-5300
Practice Address - Country:US
Practice Address - Phone:918-306-0980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2664152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist