National Provider Identifier Database

DALE J MOSER
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

DALE J MOSER
1520 N MCEWAN ST
CLARE, MI48617
Phone: 989-386-2020
Fax: 989-386-7308
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for DALE J MOSER

NPI Number 1053615708
Legal business name
LBN
DALE J MOSER
Authorized official DALE MOSER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/10/2011
Last updated 04/03/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 003085
  • MI License #: 004640
  • MI License #: 4901003085
  • MI Medicaid: 1769910
  • MI Medicaid: 1908862
  • MI Other: 900A86500 BLUE CROSS BLUE SHIED
  • MI Other: 0A86500 MEDICARE ID-INSPECIFIED
  • MI Other: 410008233 RAIL ROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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