| Moss Optical, Llc | |
|
1568 N Farwell Ave Milwaukee WI 53202-2639 | |
| (414) 221-7055 | |
| Not Available |
| Full Name | Moss Optical, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1568 N Farwell Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Timothy Moss (OWNER) |
| Authorized Official Contact | 7135917781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moss Optical, Llc 4312 Abbott Ave N Robbinsdale MN 55422-1415 Ph: (713) 591-7781 | Moss Optical, Llc 1568 N Farwell Ave Milwaukee WI 53202-2639 Ph: (414) 221-7055 |
| NPI Number | 1407495021 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407495021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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