| Dr. Dale J Moser Od | |
|
334 N Ross, Beaverton, MI 48612 | |
| (989) 435-2020 | |
| (989) 435-2554 |
| Full Name | Dr. Dale J Moser Od |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 334 N Ross, Beaverton, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477738961 | NPI | - | NPPES |
| 900A86500 | Other | MI | BC/BS |
| 1908862 | Medicaid | MI | |
| 410008233 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003085 (Michigan) | Primary |
| 332H00000X | Eyewear Supplier | 003085 (Michigan) | Secondary |
| 332H00000X | Eyewear Supplier | 004640 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dale J Moser Od 1520 B N Mcewan St, Clare, MI 48617 Ph: (989) 386-2020 | Dr. Dale J Moser Od 334 N Ross, Beaverton, MI 48612 Ph: (989) 435-2020 |
Mid Michigan Family Eye Care Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 334 N Ross St, Beaverton, MI 48612 Phone: 989-435-2020 Fax: 989-435-2554 |