Aida Moultrie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-519-TA-687 Issued in AL

Practice address

4100 Goss Rd.
Fox Army Health Center/Opt
Redstone Arsenal, AL 35809-7000

Phone

(256) 955-8888

Fax

(256) 955-6060

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720175995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GOSS ROAD",
            "address_2": "FOX ARMY HEALTH CENTER ATTN:MCXW-NOPS",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-6492",
            "fax_number": "256-842-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD.",
            "address_2": "FOX ARMY HEALTH CENTER/OPT",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-8888",
            "fax_number": "256-955-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTRIE",
        "first_name": "AIDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-519-TA-687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Waters Lambert, CRNP
• Angelique Renee Likely, RN, MPH
• Brenda R Lott, LMSW
• Michael Bernard Madkins, M.D.
• Madan A Maladkar, MD
• Amy Felice Sellers, LCSW
• Carly Marie Skarphol, RN
• Harold Brown Smith III, LPC, CADC, NCC
• Otha Lee Solomon Jr., DDS
• Jo-Ann Anita Taalib, BCD,LCSW, MAC

• Optometrist in Redstone Arsenal, AL
• Providers in Redstone Arsenal, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.