NPIMap

Organization Active NPI

Robert W Moses OD Professional Corp.

Doing business as Moses EyeCare Centers

  • Eyewear Supplier
  • Gary, IN
National Provider Identifier
1093830085
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
18001579 Issued in IN
Legal business name
ROBERT W MOSES OD PROFESSIONAL CORP.
Doing business as
Moses EyeCare Centers
Practice address
701 W 5TH Ave
Gary, IN 46402-1807
Phone
(219) 881-0655
NPI assigned
Mar 20, 2007
Last updated
Oct 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert William Moses, ODNPI 1417938010
Title
President
Phone
(219) 736-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 18001579 IN Primary

Addresses

Primary practice location

701 W 5TH Ave
Gary, IN 46402-1807

Mailing address

701 W 5TH Ave
Gary, IN 46402-1807
Phone (219) 881-0655

Other names 1

  • Moses EyeCare Centers Doing business as

National Provider Directory

National Provider Directory

Locations

701 W 5th Ave
Gary, IN 46402
Phone (219) 881-0655

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1093830085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021807",
            "telephone_number": "219-881-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021807",
            "telephone_number": "219-881-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W MOSES OD PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-736-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18001579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moses EyeCare Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.