Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Earl Moses

Individual provider Optometrist · NPI 1063797116

Alexander Earl Moses is an Optometry in Detroit Lakes, Minnesota. Graduated from Pacific University - College of Optometry in 2014, 12 years ago. Practices with St Marys Regional Health Center, a 188-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
12
Trained at
Pacific University - College of Optometry
Licensed in
MN, ND
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3400 (MN)
Optometrist Taxonomy 152W00000X · Licence 727 (ND)

Record details

NPI number1063797116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2011
Last updated in NPPESDecember 29, 2015
Mailing address1027 Washington Ave, Detroit Lakes, MN 56501-3409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2014 (12 years in practice)
Group practice St Marys Regional Health Center — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Detroit Lakes