DR. MARSHALL NORMAN MOSS O.D.
NPI 1104846187
Optometrist - Corneal and Contact Management in North Miami Beach, FL

Active since July 20, 2006
1644 NE 164TH ST, NORTH MIAMI BEACH, FL 33162(305) 940-2065(305) 940-2065 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marshall Norman Moss O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARSHALL NORMAN MOSS O.D. (NPI 1104846187) is an individual corneal and contact management provider in North Miami Beach, Florida, licensed in Florida (OPC1170) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104846187
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. MARSHALL NORMAN MOSSCredential: O.D.
Location Address1644 NE 164TH STNorth Miami Beach, FL 33162-4017
Mailing Address1025 Ne 172nd TerMiami, FL 33162-2639 · (305) 654-1121 · Fax (305) 940-2065
Fax(305) 940-2065
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 21, 2012
NPI 1104846187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in FL · OPC1170
Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Also ListedOptometristTaxonomy 152W00000X · License OPC1170 (FL)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License OPC1170 (FL)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License OPC1170 (FL)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License OPC1170 (FL)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License OPC1170 (FL)
1644 NE 164TH ST, North Miami Beach, FL 33162

Other Identifiers 3

Medicaid084858100FL
Medicare ID-Type Unspecified20212FL · Medicare
Medicare UPINT93845FL

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Technician/Technologist (Optician)
1644 NE 164TH ST
NORTH MIAMI BEACH, FL 33162
Eyewear Supplier
1644 NE 164TH ST
NORTH MIAMI BEACH, FL 33162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104846187, enumerated as an "individual" on July 20, 2006.

The provider is located at 1644 NE 164TH ST NORTH MIAMI BEACH, FL 33162 and the phone number is (305) 940-2065.

Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.