National Provider Identifier Database

DR DALE J MOSER OD
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

DR. DALE J MOSER OD
334 N ROSS
BEAVERTON, MI48612
Phone: 989-435-2020
Fax: 989-435-2554
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for DR. DALE J MOSER OD

NPI Number 1477738961
Legal business name
LBN
DR. DALE J MOSER OD
Authorized official DALE MOSER - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 01/03/2008
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: 1908862
  • MI Other: 900A86500 BC/BS
  • MI Other: 410008233 RAILROAD 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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