Individual
MICHELLE ROSE MOSCOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1190 GRIMES BRIDGE RD, ROSWELL, GA 30075-3930
(770) 992-7620
Mailing address
1190 GRIMES BRIDGE RD, ROSWELL, GA 30075-3930
(770) 992-7620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003028
GA
152WC0802X
Corneal and Contact Management Optometrist
003028
GA
152WL0500X
Low Vision Rehabilitation Optometrist
003028
GA
152WP0200X
Pediatric Optometrist
003028
GA
152WS0006X
Sports Vision Optometrist
003028
GA
152WV0400X
Vision Therapy Optometrist
003028
GA
152WX0102X
Occupational Vision Optometrist
003028
GA
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us