ROBERT W MOSES OD PROFESSIONAL CORP. NPI 1699890111

NPI Information

ROBERT W MOSES OD PROFESSIONAL CORP. is an eyewear supplier in Merrillville, IN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ROBERT W MOSES OD PROFESSIONAL CORP. NPI is 1699890111. The provider is registered as an organization entity type.
The provider Is Doing Business As Moses Eyecare Centers.

The provider's business location address is:

70 E 68TH PL
MERRILLVILLE, IN
ZIP 46410-506
Phone: (219) 736-2020
Fax: (219) 769-3884

The provider's authorized official is Robert William Moses .
The authorized official title is President and has the following contact phone number (219) 736-2020.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/12/2010.

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:

Other Identifiers

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

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