Individual
DR. MARSHALL NORMAN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1644 NE 164TH ST, NORTH MIAMI BEACH, FL 33162-4017
(305) 940-2065
(305) 940-2065
Mailing address
1025 NE 172ND TER, MIAMI, FL 33162-2639
(305) 654-1121
(305) 940-2065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC1170
FL
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC1170
FL
152WL0500X
Low Vision Rehabilitation Optometrist
OPC1170
FL
152WS0006X
Sports Vision Optometrist
OPC1170
FL
152WV0400X
Vision Therapy Optometrist
OPC1170
FL
152WX0102X
Occupational Vision Optometrist
OPC1170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084858100
—
FL
Enumeration date
07/20/2006
Last updated
03/21/2012
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