DR. MARSHALL NORMAN MOSS O.D. NPI 1104846187

NPI Information

NPI: 1104846187
Provider Name: DR. MARSHALL NORMAN MOSS, O.D.
Classification: Optometrist - 152WC0802X
Entity Type: Individual

Specialization: Corneal and Contact Management

PECOS Registration: Yes

Address:
1644 NE 164TH ST
NORTH MIAMI BEACH, FL
ZIP 33162
Phone: (305) 940-2065
Get Directions

DR. Marshall Norman Moss, O.D. is a corneal and contact management optometrist in North Miami Beach, FL. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Marshall Norman Moss, O.D. NPI is 1104846187. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1644 NE 164TH ST
NORTH MIAMI BEACH, FL
ZIP 33162-017
Phone: (305) 940-2065
Fax: (305) 940-2065

The NPI 1104846187 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/20/2006 and was last updated on 3/21/2012.

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
1	152W00000X	Optometrist		OPC1170	FLORIDA	No
2	152WL0500X	Optometrist	Low Vision Rehabilitation	OPC1170	FLORIDA	No
3	152WS0006X	Optometrist	Sports Vision	OPC1170	FLORIDA	No
4	152WV0400X	Optometrist	Vision Therapy	OPC1170	FLORIDA	No
5	152WX0102X	Optometrist	Occupational Vision	OPC1170	FLORIDA	No
6	152WC0802X	Optometrist	Corneal and Contact Management	OPC1170	FLORIDA	Yes

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
1	084858100	MEDICAID	FLORIDA
2	20212	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE
3	T93845	MEDICARE UPIN	FLORIDA

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

NPI Synchronization or Removal

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