Robert W Moses OD Professional Corp.

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

618 N Main St
Suite a
Hebron, IN 46341-8710

Phone

(219) 996-2800

NPI assigned

Mar 21, 2007

Last updated

Oct 12, 2010By the provider in NPPES

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• Moses EyeCare Centers Doing business as

Locations

Practitioners 1

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.

• Robert William Moses, O.D.

  • Optometrist
  • Merrillville, IN
  • NPI 1417938010
  Authorized official Same address or phone

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1699890103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N FRONT ST",
            "address_2": "SUITE A",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463419205",
            "telephone_number": "219-996-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N MAIN ST",
            "address_2": "SUITE A",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418710",
            "telephone_number": "219-996-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W MOSES OD PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "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"
        }
    ]
}

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• Eyewear Supplier in Hebron, IN
• Providers in Hebron, IN by specialty
• Eyewear Supplier in Indiana

• 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.