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Individual

DR. SUSAN MOSS

Active
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Individual

DR. SUSAN MOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3668T
TX
152WC0802X
Corneal and Contact Management Optometrist
3668T
TX
152WL0500X
Low Vision Rehabilitation Optometrist
3668T
TX
152WP0200X
Pediatric Optometrist
3668T
TX
152WS0006X
Sports Vision Optometrist
3668T
TX
152WV0400X
Vision Therapy Optometrist
3668T
TX

Other

Enumeration date
01/19/2011
Last updated
01/19/2011
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