MEDICARE: ROBERT W MOSES OD PROFESSIONAL CORP.

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	332H00000X	Eyewear Supplier	18001579	IN

General Provider Information

NPI Number	:	1790800217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT W MOSES OD PROFESSIONAL CORP.

Provider Business Mailing Address
First Line	:	117 DEANNA DR
Second Line	:
City	:	LOWELL
State	:	IN
Zip	:	46356-2402
Country	:	US
Telephone Number	:	219-696-8077
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 DEANNA DR
Second Line	:
City	:	LOWELL
State	:	IN
Zip	:	46356-2402
Country	:	US
Telephone Number	:	219-696-8077
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT WILLIAM MOSES
Credential	:	OD
Telephone Number	:	219-736-2020

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	10/13/2010

Similar Medicare Providers

1265488753 — BARBARA MARIE VANDERWOUDE MSPT
Practice Location Address:

181 DEANNA DR STE C
LOWELL, IN
46356-2402

Practice Phone: 219-696-0988
Practice Fax: 219-696-0989

1114020740 — MRS. RACHEL ELIZABETH VAN VLYMEN DPT
Practice Location Address:

181 DEANNA DR , SUITE C
LOWELL, IN
46356-2402

Practice Phone: 219-696-0988
Practice Fax: 219-696-0989

1982763041 — DR. DAVID W CONAWAY D.D.S.
Practice Location Address:

195 DEANNA DR
LOWELL, IN
46356-2402

Practice Phone: 219-696-1181
Practice Fax: 219-696-7020

1245361351 — MS. BARBARA THOMPSON ROHE P.T.
Practice Location Address:

181 DEANNA DR STE C
LOWELL, IN
46356-2402

Practice Phone: 219-696-0988
Practice Fax: 219-696-0989

1598066391 — WE CARE 4-U FAMILY MEDICINE LLC
Practice Location Address:

111 DEANNA DR
LOWELL, IN
46356-2402

Practice Phone: 219-552-5544
Practice Fax:

1912423864 — BAILEY BOICKEN
Practice Location Address:

181 DEANNA DR STE C
LOWELL, IN
46356-2402

Practice Phone: 219-696-0988
Practice Fax: 219-696-0989

Directions to “ROBERT W MOSES OD PROFESSIONAL CORP. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.