Organization
MOSS OPTICAL, LLC
Active
Other names
Bronze Eye Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MOSS ABOC (OWNER)
(713) 591-7781
Entity
Organization
Contact information
Practice address
1568 N FARWELL AVE, MILWAUKEE, WI 53202-2639
(414) 221-7055
Mailing address
4312 ABBOTT AVE N, ROBBINSDALE, MN 55422-1415
(713) 591-7781
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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