Moscow, Michelle Rose
Moscow, Michelle Rose is an individual health care provider with primary practice located at 1190 Grimes Bridge Rd , Roswell GA 30075-3930. She recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Moscow, Michelle Rose can be contacted via phone (770) 992-7620.Contact Information
Primary practice address
1190 Grimes Bridge Rd
Roswell GA 30075-3930
Phone: (770) 992-7620
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 003028 | Georgia |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 003028 | Georgia |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 003028 | Georgia |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 003028 | Georgia |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 003028 | Georgia |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 003028 | Georgia |
Eye and Vision Services Providers / Optometrist | 152W00000X | 003028 | Georgia |
Profile Details
NPI number | 1598285447 |
---|---|
LBN Legal business name | Moscow, Michelle Rose |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2017 |
Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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