MEDICARE: ONSIGHT EYE SOLUTIONS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1710299243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONSIGHT EYE SOLUTIONS PLLC

Provider Business Mailing Address
First Line	:	1423 S HIGLEY RD
Second Line	:	STE 127
City	:	MESA
State	:	AZ
Zip	:	85206-3429
Country	:	US
Telephone Number	:	480-505-6206
Fax Number	:	480-505-6225

Provider Business Practice Location Address
First Line	:	1423 S HIGLEY RD
Second Line	:	STE 127
City	:	MESA
State	:	AZ
Zip	:	85206-3429
Country	:	US
Telephone Number	:	480-505-6206
Fax Number	:	480-505-6225

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. THOMAS A MOSER
Credential	:	O.D.
Telephone Number	:	480-505-6206

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	07/13/2010

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