Individual
DR. THOMAS L MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1900 S P ST, ELWOOD, IN 46036-3333
(765) 552-7376
(765) 552-7377
Mailing address
1900 S P ST, ELWOOD, IN 46036-3333
(765) 552-7376
(765) 552-7377
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001779B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100170930A
—
IN
Enumeration date
11/08/2006
Last updated
08/25/2008
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