GARY M. MOSS, O.D.; NPI #1548455561

Contact Information

GARY M. MOSS, O.D.

1769 WASHTENAW RD
YPSILANTI, MI 48197-2020

Phone: 734-483-2100
Fax: 734-483-2060
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for GARY M. MOSS, O.D.

NPI # 1548455561

LBN Legal business name GARY M. MOSS, O.D.

Authorized official GARY MOSS - (OPTOMETRIST/ OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/12/2007

Last updated 11/06/2009 - About 17 years ago

Identifiers

MI	License #	4901002648
MI	Medicaid	5069375
MI	Other	0931160001	SUPPLIER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GARY M. MOSS, O.D.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for GARY M. MOSS, O.D.

Reviews for GARY M. MOSS, O.D.