Kanita L Moser, OD | |
500 Sw 44th St, Oklahoma City, OK 73109-3540 | |
(405) 632-6688 | |
Not Available |
Full Name | Kanita L Moser |
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Gender | Female |
Speciality | Optometrist |
Location | 500 Sw 44th St, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073705471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2509 (Oklahoma) | Primary |
Provider Name | Variety Care, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780697813 PECOS PAC ID: 1557260007 Enrollment ID: O20040105000467 |
Mailing Address | Practice Location Address |
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Kanita L Moser, OD 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 Ph: (405) 632-6688 | Kanita L Moser, OD 500 Sw 44th St, Oklahoma City, OK 73109-3540 Ph: (405) 632-6688 |
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