Broderick Devon Moses in Metairie - Optometrist

Broderick Devon Moses - NPI 1245342898

Broderick Devon Moses is a Optometrist in Metairie, Louisiana. Broderick Devon Moses practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Broderick Devon Moses is 1245342898. The last update date is 2022-07-21.

Broderick Devon Moses's current location address is 4500 Veterans Memorial Blvd, Metairie, Louisiana. You can contact this provider via phone number 5044543791 and fax number 5044563058. The mailing address for Broderick Devon Moses is 4500 Veterans Memorial Blvd, Metairie, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Broderick Devon Moses
Address 4500 Veterans Memorial Blvd, Metairie, Louisiana
Phone Number 5044543791
Fax Number 5044563058
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1245342898
Provider Enumeration Date 2006-08-31
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 4500 Veterans Memorial Blvd
City Metairie
State Louisiana (LA)
Post Code 700065330
Phone Number 5044543791
Fax Number 5044563058

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 6684TG
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1245342898 TX BLUE CROSS BLUE SHIELD OF TEXA
1417146994 TX BLUE CROSS BLUE SHIELD OF TEXA
1627348 LA --
82393Q TX BLUE CROSS BLUE SHIELD OF TEXA

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FAQs about Broderick Devon Moses

What is the unique 10-digit identifier code issued to Broderick Devon Moses by the Centers for Medicare & Medicaid Services?

The Broderick Devon Moses has been assigned the NPI (National Provider Identifier) 1245342898 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Broderick Devon Moses's physical address?

The Broderick Devon Moses is physically located at 4500 Veterans Memorial Blvd, in the city of Metairie, LA, with the postal code 700065330.

What is the Broderick Devon Moses's specialty and taxonomy code?

The Broderick Devon Moses's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1245342898 to Broderick Devon Moses?

The Centers for Medicare & Medicaid Services assigned the 1245342898 to Broderick Devon Moses on 2006-08-31.

As of what date were the details pertaining to Broderick Devon Moses last refreshed?

The information related to the Broderick Devon Moses, including its address, specialty, and other relevant details, was last updated on 2022-07-21.

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