NPI 1336788942

Timothy Moss, ABOC

Practitioner Optician Milwaukee, WI

Practice location

Address: 1568 N Farwell Ave, Milwaukee, WI 53202-2639
Phone: (414) 221-7055
Mailing address: 4312 Abbott Ave N, Robbinsdale, MN 55422-1415

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Wisconsin →

Registry record

NPI: 1336788942
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2019
Record last updated: 30 Dec 2019

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.