Individual
DR. EDWIN BURNETT MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 MAIN ST, MINDEN, LA 71055-3349
(318) 377-2020
(318) 377-9833
Mailing address
800 MAIN ST, MINDEN, LA 71055-3349
(318) 377-2020
(318) 377-9833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
918096T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363871
—
LA
Enumeration date
08/25/2006
Last updated
07/08/2007
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