Dale J Moser
Dale J Moser is a healthcare organization registered as Optometrist in Clare, MI, holding Type 2 (organization) NPI 1053615708 since 2011. The authorized official on file is Dale Moser, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053615708 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dale J Moser |
| Practice address | 1520 N MCEWAN ST, Clare, MI, 48617 |
| Phone | 9893862020 |
| Fax | 9893867308 |
| Enumeration date | 2011-01-10 |
| Last updated in NPPES | 2012-04-03 |
Authorized official
| Name | Dale Moser |
|---|---|
| Title | Owner |
| Phone | 9893862020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Secondary | 003085 | MI |
| 332H00000X | Eyewear Supplier | Secondary | 004640 | MI |
| 152W00000X | Optometrist | Primary | 4901003085 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A86500 | Other | MI | MEDICARE ID-INSPECIFIED |
| 900A86500 | Other | MI | BLUE CROSS BLUE SHIED |
| 1769910 | Medicaid | MI | — |
| 1908862 | Medicaid | MI | — |
| 410008233 | Other | MI | RAIL ROAD MEDICARE |
Copy-ready billing details
Provider: Dale J Moser NPI: 1053615708 Taxonomy: 152W00000X (Optometrist) Address: 1520 N MCEWAN ST, Clare, MI, 48617
Verify this record
Cross-check NPI 1053615708 against the authoritative CMS record: view Dale J Moser on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Dale J Moser?
Who is the authorized official for Dale J Moser?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-04-03.