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DR. DALE J MOSER OD NPI 1477738961


NPI Information

NPI: 1477738961
Provider Name: DR. DALE J MOSER OD

Doing Business As: BEAVERTON FAMILY EYECARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
334 N ROSS
BEAVERTON, MI
ZIP 48612
Phone: (989) 435-2020
Get Directions

DR. DALE J MOSER OD is an optometrist in Beaverton, MI. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. DALE J MOSER OD NPI is 1477738961. The provider is registered as an organization entity type.
The provider Is Doing Business As Beaverton Family Eyecare.

The provider's business location address is:

334 N ROSS
BEAVERTON, MI
ZIP 48612
Phone: (989) 435-2020
Fax: (989) 435-2554

The provider's authorized official is Dale James Moser .
The authorized official title is Owner and has the following contact phone number (989) 386-2020.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 4/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier003085MICHIGANNo
2332H00000XEyewear Supplier004640MICHIGANNo
3152W00000XOptometrist4901003085MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12671940002MEDICARE NSCMICHIGAN
2900A86500OTHERMICHIGANBC/BS
30A86500MEDICARE PINMICHIGAN
41908862MEDICAIDMICHIGAN
5410008233OTHERMICHIGANRAILROAD MEDICARE
6T32688MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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