GARY MOSS (NPI# 1740289677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740289677 |
| Entity Type | Individual |
| Full Name | GARY MOSS |
| Credential | OD |
| Practice Address |
1255 Boylston St Boston MA 02215-3468 |
| Practice Telephone | 6172622020 |
| Practice Fax Number | 6172366323 |
| Mailing Telephone | 6172622020 |
| Mailing Fax Number | 6172366323 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2758 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 354023 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265681365 | Gary Wallace Moss | Dentist | 1680 Westwood Dr Ste D, San Jose, CA 95125-5105 | 2008-09-12 |
| 1457317950 | Gary M Moss | Optometrist | 1769 Washtenaw Rd, Ypsilanti, MI 48197-2020 | 2006-04-24 |
| 1588665137 | Gary Blair Moss | Allergy & Immunology | 1704 Sir William Osler Dr, Suite 300, Virginia Beach, VA 23454-3003 | 2005-08-04 |
| 1790749406 | Gary Moss | Social Worker | 5 Sunrise Plaza, Suite 202 Biofeedback and Psychotherapy, Valley Stream, NY 11580 | 2006-04-12 |
| Street Address |
1255 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699864470 | Lucia D'angelo | Optometrist | 1255 Boylston St, Boston, MA 02215-3468 | 2006-10-12 |
| 1790770063 | Jill Beyer | Optometrist | 1255 Boylston St, Boston, MA 02215-3468 | 2005-09-13 |
| 1528069580 | Erik Weissberg | Optometrist | 1255 Boylston St, Boston, MA 02215-3468 | 2005-08-02 |
| 1871593871 | Trinh Tu Khuu | Optometrist | 1255 Boylston St, Boston, MA 02215-3468 | 2005-08-01 |
| 1801896824 | Nancy Carlson | Optometrist | 1255 Boylston St, Boston, MA 02215-3468 | 2005-08-01 |
| 1093715021 | Matthew Garston | Optometrist | 1255 Boylston St, Boston, MA 02215-3468 | 2005-08-01 |
| 1033119409 | Alan Kwok | Optometrist | 1255 Boylston St, Boston, MA 02215-3468 | 2005-07-28 |
| 1699775106 | Clifford Scott | Optometrist | 1255 Boylston St, Boston, MA 02215-3468 | 2005-07-26 |
| 1376542209 | Nicole Quinn | Optometrist | 1255 Boylston St, Boston, MA 02215-3468 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790314557 | Kirsten Brady | Optometrist | 10 Fairfield St Apt 3, Boston, MA 02116-1666 | 2020-04-03 |
| 1922647403 | Claudia Christine Evans | Optometrist | 8 Gloucester St, Boston, MA 02115-1720 | 2019-12-31 |
| 1437790813 | Arianna Yoshiko Jordan | Optometrist | 83 Newbury St Ste 3, Boston, MA 02116-3284 | 2019-10-07 |
| 1528628625 | Molly Jean Admire | Optometrist | 31 Saint James Ave Ste 135, Boston, MA 02116-4101 | 2019-06-19 |
| 1770097040 | Doug Haigh Eye Care LLC | Optometrist | 588 E 7th St, Boston, MA 02127-4224 | 2017-11-25 |
| 1487108585 | Alina Reznik | Optometrist | 33 Arch St Fl 16, Boston, MA 02110-1424 | 2016-08-08 |
| 1417326182 | Darryl Grace & Associates PC | Optometrist | 101 Arch St, Cohen's Fashion Optical, Boston, MA 02110-1130 | 2015-09-23 |
| 1437535895 | Xueling Song | Optometrist | 155 Federal St # 150, Boston, MA 02110-1727 | 2015-08-07 |
| 1699165357 | Azadeh Kelly | Optometrist | 33 Broad St Lbby 2, Boston, MA 02109-4229 | 2015-02-02 |
| 1164825428 | Rachel Bates | Optometrist | 513 Beacon St, Apt 10, Boston, MA 02215-2309 | 2014-10-01 |
| Find all providers in BOSTON | ||||
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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.