Moss, Marshall Norman
Moss, Marshall Norman is an sole proprietor health care provider with primary practice located at 1644 Ne 164Th St , North Miami Beach FL 33162-4017. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Moss, Marshall Norman can be contacted via phone (305) 940-2065.Contact Information
Primary practice address
1644 Ne 164Th St
North Miami Beach FL 33162-4017
Phone: (305) 940-2065
Fax: (305) 940-2065
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1170 | Florida |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC1170 | Florida |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OPC1170 | Florida |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | OPC1170 | Florida |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OPC1170 | Florida |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | OPC1170 | Florida |
Profile Details
NPI number | 1104846187 |
---|---|
LBN Legal business name | Moss, Marshall Norman |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 20th, 2006 |
Last updated | Mar 21st, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104846187 | NPPES |
Florida | MEDICAID | 084858100 |
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