Organization
FREDERICK C. MOSES, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK C MOSES O.D. (PRESIDENT)
(205) 932-2953
Entity
Organization
Contact information
Practice address
3186 HIGHWAY 171 N, FAYETTE, AL 35555-6172
(205) 932-2953
(205) 932-2852
Mailing address
PO BOX 776, FAYETTE, AL 35555-0776
(205) 932-2953
(205) 932-2852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S396-TA-116
AL
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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