Individual
DR. ROBERT WILLIAM MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
—
100362050
—
IN
01
—
410016959
RAILROAD MEDICARE
IN
01
—
410040620
RAILROAD MEDICARE
IN
01
—
410041743
RAILROAD MEDICARE
IN
01
—
580001141
RAILROAD MEDICARE
IN
Enumeration date
11/10/2005
Last updated
06/02/2011
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