Organization
ROBERT W MOSES O.D. PROFESSIONAL CORPORATION
Active
Other names
Moses EyeCare Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM MOSES O.D. (PRESIDENT)
(219) 736-2020
Entity
Organization
Contact information
Practice address
70 E 68TH PL, MERRILLVILLE, IN 46410-3506
(219) 736-2020
(219) 769-3884
Mailing address
70 E 68TH PL, MERRILLVILLE, IN 46410-3506
(219) 736-2020
(219) 769-3884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001579
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167770
—
IN
01
—
CB2559
RAILROAD MEDICARE
IN
01
—
CF9874
RAILROAD MEDICARE
IN
01
—
CF9875
RAILROAD MEDICARE
IN
01
—
CG4140
RAILROAD MEDICARE
IN
Enumeration date
05/17/2006
Last updated
08/03/2010
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