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Gary M. Moss, O.d.
Eyewear Supplier in Ypsilanti, Michigan
NPI 1548455561

Gary M. Moss, O.d. is a Eyewear Supplier based in Ypsilanti, MI. Gary M. Moss, O.d. practices in Ypsilanti, MI. The NPI Number for Gary M. Moss, O.d. is 1548455561 and holds a License No. 4901002648 (Michigan).

The current practice location address for Gary M. Moss, O.d. is 1769 Washtenaw Rd, Ypsilanti, MI and can be reached out via phone at 734-483-2100 and via fax at 734-483-2060.

Location: 1769 Washtenaw Rd, Ypsilanti, MI, 48197-2020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548455561
Provider Name
Gary M. Moss, O.d.
Credential
Provider Entity Type
Organization
Address
1769 Washtenaw Rd, Ypsilanti, MI, 48197-2020
Phone Number
734-483-2100
Fax Number
734-483-2060
Provider Enumeration Date
09/12/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5069375 05 MI
0931160001 01 MI SUPPLIER
institution
Provider Business Practice Location Address Details
Address
1769 Washtenaw Rd
City
Ypsilanti
State
Michigan
Zip
48197-2020
Phone Number
734-483-2100
Fax Number
734-483-2060
person
Provider Business Mailing Address Details
Address
1769 Washtenaw Rd
City
Ypsilanti
State
Michigan
Zip
48197-2020
Phone Number
734-483-2100
Fax Number
734-483-2060
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
4901002648 (Michigan)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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