NPI 1295115087

Craig Moss, OD

Practitioner Optometrist Eagle, ID

Practice location

Address: 408 S Eagle Rd STE 100, Eagle, ID 83616-6079
Phone: (208) 939-2773
Mailing address: 3100 S Whitepost Way, Eagle, ID 83616-6705

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100338 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1295115087
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2015
Record last updated: 5 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.