John Stephen Moulton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3280TG Issued in TX

Practice address

6300 Oakmont Blvd
Ft Worth, TX 76132-2813

Phone

(817) 294-2010

Fax

(817) 294-2024

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment NPD
• Texas Stellar Optometry

  • Optometrist
  • Cleburne, TX
  • NPI 1477020980
  Medicare reassignment NPD
• Desoto Eyecare Associates Professional Association

  • Optometrist
  • Lewisville, TX
  • NPI 1063588861
  NPD (past)
• Dianne Bui Dao OD PC

  • Optometrist
  • Pearland, TX
  • NPI 1316159346
  NPD (past)
• Janet B Ogletree OD PA

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)
• Pope Enterprises PLLC

  • Optometrist
  • Friendswood, TX
  • NPI 1396927059
  NPD (past)
• Robert a Gracey OD PC

  • Optometrist
  • Cleburne, TX
  • NPI 1225210032
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174628275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LAKE VIEW DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363957",
            "telephone_number": "817-426-4240",
            "fax_number": "817-426-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 OAKMONT BLVD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761322813",
            "telephone_number": "817-294-2010",
            "fax_number": "817-294-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3280TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "917825",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sri Harshita Moturu, DMD
• Motus Center, Inc.
• Nangmoon Amanda Moua
• Sherry Moua, APRN, FNP-C
• Connie B Moulder, L.P.C.
• Kayla Mount
• Mountain of Grace Homehealth,LLC
• Heba Mountaser, RD,LD
• Nicole R Moure
• Josphin Mouris

• Optometrist in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.