# MOSS OPTICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bronze Eye Gallery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407495021
- **Authorized official:** TIMOTHY MOSS ABOC (OWNER)
- **Authorized official phone:** (713) 591-7781

## Contact information

- **Practice address:** 1568 N FARWELL AVE, MILWAUKEE, WI 53202-2639
- **Practice address phone:** (414) 221-7055
- **Mailing address:** 4312 ABBOTT AVE N, ROBBINSDALE, MN 55422-1415
- **Mailing address phone:** (713) 591-7781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2019
- **Last updated:** 12/30/2019