Dale J Moser

LBN: Dale J Moser
Dale J Moser is an health care organization with primary practice located at 1520 N Mcewan St , Clare MI 48617. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Dale J Moser can be contacted via phone (989) 386-2020, or through Moser, Dale J via phone (989) 386-2020.

Contact Information

Primary practice address
1520 N Mcewan St Clare MI 48617
Phone: (989) 386-2020
Fax: (989) 386-7308
Website:
Map and Directions
Authorized official contact:
Name: Moser, Dale J
Phone: (989) 386-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003085 Michigan
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 003085 Michigan
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 004640 Michigan

Profile Details

NPI number 1053615708
LBN Legal business name Dale J Moser
DBA Doing business as
Authorized official Moser, Dale J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2011
Last updated Apr 3rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053615708 NPPES
Michigan Other 0A86500 MEDICARE ID-INSPECIFIED
Michigan Other 900A86500 MEDICARE ID-INSPECIFIED
Michigan MEDICAID 1769910 MEDICARE ID-INSPECIFIED
Michigan MEDICAID 1908862 MEDICARE ID-INSPECIFIED
Michigan Other 410008233 MEDICARE ID-INSPECIFIED

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