Gary M. Moss, O.D.

LBN: Gary M. Moss, O.D.
Gary M. Moss, O.D. is an health care organization with primary practice located at 1769 Washtenaw Rd , Ypsilanti MI 48197-2020. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Gary M. Moss, O.D. can be contacted via phone (734) 483-2100, or through Moss, Gary M via phone (734) 483-2100.

Contact Information

Primary practice address
1769 Washtenaw Rd Ypsilanti MI 48197-2020
Phone: (734) 483-2100
Fax: (734) 483-2060
Website:
Map and Directions
Authorized official contact:
Name: Moss, Gary M Doctor of Optometry (OD)
Phone: (734) 483-2100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 4901002648 Michigan

Profile Details

NPI number 1548455561
LBN Legal business name Gary M. Moss, O.D.
DBA Doing business as
Authorized official Moss, Gary M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2007
Last updated Nov 6th, 2009 - about 16 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 1548455561 NPPES
Michigan MEDICAID 5069375
Michigan Other 0931160001

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