MR. TIMOTHY MOSS (NPI# 1336788942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336788942 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MOSS |
| Credential | ABOC |
| Practice Address |
1568 N Farwell Ave Milwaukee WI 53202-2639 |
| Mailing Address |
4312 Abbott Ave N Robbinsdale MN 55422-1415 |
| Practice Telephone | 4142217055 |
| Mailing Telephone | 7135917781 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568721850 | Timothy Moss | Medical Genetics | 25 Michigan St Ne Ste 2000, Grand Rapids, MI 49503-2526 | 2012-05-08 |
| 1518035138 | Timothy T Moss | Dentist | 406 W Boughton Rd, Bolingbrook, IL 60440 | 2006-12-01 |
| 1316912330 | Timothy Tyrone Moss | Social Worker | 655 7th St Bldg 700a78, Warner Robins, GA 31098-2227 | 2006-02-22 |
| 1649530312 | Timothy Dwayne Moss | Military Health Care Provider | Uss Elrod Ffg 55, Fpo, AE 09568-1509 | 2012-05-29 |
| 1407153729 | Timothy Craft Moss | Orthotic Fitter | 100 E Main St, Cherryville, NC 28021-3407 | 2011-02-23 |
| 1679603310 | Timothy K Moss | Registered Nurse | 1915 Columbia Ave, Franklin, TN 37064-3921 | 2007-03-06 |
| Street Address |
1568 N FARWELL AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53202-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649464124 | Everette Bronze Quinton | Technician/Technologist | 1568 N Farwell Ave, Milwaukee, WI 53202-2366 | 2007-08-28 |
| 1407495021 | Moss Optical, LLC | Clinic/Center | 1568 N Farwell Ave, Milwaukee, WI 53202-2639 | 2019-12-30 |
| 1396912325 | Bronze Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1568 N Farwell Ave, Milwaukee, WI 53202-2366 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
| 1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
| 1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
| 1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| Find all providers in zip 53202 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782986 | Penny S Zaworski | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1649464124 | Everette Bronze Quinton | Technician/Technologist | 1568 N Farwell Ave, Milwaukee, WI 53202-2366 | 2007-08-28 |
| 1184753352 | Vision Mart, Inc | Technician/Technologist | 2110 E Oklahoma Ave, Milwaukee, WI 53207-2922 | 2007-03-05 |
| 1538207717 | Wisconsin Vision, Inc | Technician/Technologist | 7528 W Burleigh St, Milwaukee, WI 53210-1030 | 2007-02-01 |
| 1457417586 | Robert Lynn Martellaro | Technician/Technologist | 9211 W Center St, Milwaukee, WI 53222-4516 | 2007-01-01 |
| 1114008109 | Wal-mart Stores East, Lp | Technician/Technologist | 8700 N Servite Dr, Milwaukee, WI 53223-2516 | 2006-10-18 |
| 1770664864 | Wal-mart Stores East, Lp | Technician/Technologist | 5825 W. Hope Avenue, Milwaukee, WI 53216 | 2006-10-17 |
| 1790880920 | Sam's Club Optical | Technician/Technologist | 7701 W Calumet Rd, Milwaukee, WI 53223-3907 | 2006-09-13 |
| 1326683996 | Quality Optical LLC | Technician/Technologist | 806 N Old World 3rd St, Milwaukee, WI 53203-1701 | 2019-11-07 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.