Moss Optical, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MOSS OPTICAL, INC.

Practice address

800 Lasalle Ave
Suite 103
Minneapolis, MN 55402-2006

Phone

(612) 332-7907

Fax

(612) 332-8070

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin P Moss

Title

President

Phone

(612) 332-7907

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902951973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LASALLE AVE",
            "address_2": "SUITE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022006",
            "telephone_number": "612-332-7907",
            "fax_number": "612-332-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LASALLE AVE",
            "address_2": "SUITE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022006",
            "telephone_number": "612-332-7907",
            "fax_number": "612-332-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-332-7907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Rose Mosing, PHD, LP
• Sondra Mosing, PTA
• Jessiyah Juantera Mosley
• Robert Allen Mosley, DO
• Debra Jean Mosnik, RPH
• Amy Moss, PHARMD
• Brian Moss
• Elaina Susan Moss, RN
• Marianna Moss, FNP
• Marissa Nicole Moss

• Optician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.