Organization
ROBERT W MOSES OD PROFESSIONAL CORP.
Active
Other names
Moses EyeCare Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM MOSES OD (PRESIDENT)
(219) 736-2020
Entity
Organization
Contact information
Practice address
701 W 5TH AVE, GARY, IN 46402-1807
(219) 881-0655
Mailing address
701 W 5TH AVE, GARY, IN 46402-1807
(219) 881-0655
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18001579
IN
Other
Enumeration date
03/20/2007
Last updated
10/12/2010
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