Provider Demographics
NPI:1679818264
Name:WILLIAM D. MOSIER, M.D.
Entity Type:Organization
Organization Name:WILLIAM D. MOSIER, M.D.
Other - Org Name:MOSIER EYE CENTER MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOSIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-871-2570
Mailing Address - Street 1:265 LAGUNA RD
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-2515
Mailing Address - Country:US
Mailing Address - Phone:714-871-2570
Mailing Address - Fax:714-441-2020
Practice Address - Street 1:265 LAGUNA RD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-2515
Practice Address - Country:US
Practice Address - Phone:714-871-2570
Practice Address - Fax:714-441-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10328T152W00000X
CA6488T152W00000X
CAA41428207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1063553378OtherINDIVIDUAL NPI
CA1063553378OtherINDIVIDUAL NPI
CAA85628Medicare UPIN