Robert W Moses Od Professional Corp.

NPI #1790800217 in Lowell, Indiana

Provider Information

NPI Number: 1790800217
Entity Type: Organization
Organization Name: Robert W Moses Od Professional Corp.
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 21, 2007
Last Updated: Oct 13, 2010

Practice Location

Address: 117 DEANNA DR
City: Lowell
State: Indiana
ZIP Code: 46356-2402
Phone: (219) 696-8077

Authorized Official

Name: DR. ROBERT WILLIAM MOSES, OD
Title: PRESIDENT
Phone: (219) 736-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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