Organization
MOSS OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P MOSS (PRESIDENT)
(612) 332-7907
Entity
Organization
Contact information
Practice address
800 LASALLE AVE, SUITE 103, MINNEAPOLIS, MN 55402-2006
(612) 332-7907
(612) 332-8070
Mailing address
800 LASALLE AVE, SUITE 103, MINNEAPOLIS, MN 55402-2006
(612) 332-7907
(612) 332-8070
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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