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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRODERICK DEVON MOSES, O.D.

Active Sole Proprietor

DR. BRODERICK DEVON MOSES, O.D. is a Optometrist healthcare provider located in METAIRIE, Louisiana. NPI 1245342898 is currently active in the NPPES registry. Verify at CMS.

Optometrist · METAIRIE, LA

Registration Details

NPI Number
1245342898
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.930928062449 yrs)
Last Updated
Jul 21, 2022
Licenses
6684TG (TX)
1383-519T (LA)
Sole Proprietor
Yes

Practice Information

Address
4500 VETERANS MEMORIAL BLVD.
TARGET OPTICAL
METAIRIE, LA, 700065330
Browse LA providers · Browse ZIP 70006
Phone
5044543791
Fax
5044563058
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in METAIRIE, LA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.