Moss Optical, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOSS OPTICAL, LLC

Doing business as

Bronze Eye Gallery

Practice address

1568 N Farwell Ave
Milwaukee, WI 53202-2639

Phone

(414) 221-7055

NPI assigned

Dec 30, 2019

Organization subpart

No

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

Authorized official

Name

Timothy Moss, ABOCNPI 1336788942

Title

Owner

Phone

(713) 591-7781

Specialties & licenses 1

Addresses

Other names 1

• Bronze Eye Gallery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Moss, ABOC

  • Optician
  • Milwaukee, WI
  • NPI 1336788942
  NPD Authorized official

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1407495021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 ABBOTT AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221415",
            "telephone_number": "713-591-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022639",
            "telephone_number": "414-221-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-591-7781",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronze Eye Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Mosey, APNP
• Amy Moskop, M.D.
• Mark J. Moskowitz, MD
• Melissa Mosley, RN
• Moss Family Care
• Kathryn Sara Moss, PH.D.
• Natalie Moss, MT-BC
• Shenika Moss
• Timothy Moss, ABOC
• Most Prize Possession Services Inc

• Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.