Individual
DR. P WAYNE MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4325 GLENWOOD AVE, RALEIGH, NC 27612-4532
(919) 782-4100
(919) 787-9573
Mailing address
5811 GLENWOOD AVE, SUITE #101, RALEIGH, NC 27612-6260
(919) 781-2116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890939
—
NC
Enumeration date
12/20/2005
Last updated
11/15/2022
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