Organization
MOSS EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CARTER MOSS O.D. (OWNER/OPTOMETRIST)
(318) 387-5657
Entity
Organization
Contact information
Practice address
2209 FORSYTHE AVE, MONROE, LA 71201-3643
(318) 387-5657
(318) 325-8472
Mailing address
2209 FORSYTHE AVE, MONROE, LA 71201-3643
(318) 387-5657
(318) 325-8472
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1559-591T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1367206
—
LA
Enumeration date
06/05/2012
Last updated
10/02/2012
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