Jason Hugh Moulton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1452 Issued in AZ

Practice address

1075 S Idaho Rd
Suite 105B
Apache Junction, AZ 85119-6496

Phone

(480) 380-5116

Fax

(480) 380-0791

NPI assigned

Jun 3, 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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

Southern California College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Moulton Family Eye Care LLC

  dba DBA Image Eyecare

  • Optometrist
  • Apache Junction, AZ
  • NPI 1942446083
  Medicare reassignment Authorized official
• Darren Elg, O D LLC

  • Optometrist
  • Queen Creek, AZ
  • NPI 1407097413
  NPD (past)
• Kirk T Reed O D P C

  • Optometrist
  • Queen Creek, AZ
  • NPI 1750522876
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1841238565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S IDAHO RD",
            "address_2": "SUITE 105B",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196496",
            "telephone_number": "480-380-5116",
            "fax_number": "480-380-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S IDAHO RD",
            "address_2": "SUITE 105B",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196496",
            "telephone_number": "480-380-5116",
            "fax_number": "480-380-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "JASON",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Moorehouse, RN
• Claudia K Morris
• Michael Perry Morris, D.C.
• Cali Morrow
• Moulton Family Eye Care LLC (DBA Image Eyecare)
• Christine N Moyer, PSY.D.
• MRSC Az Apache Junction Master Tenant LLC (Visions Senior Living at Apache Junction 2)
• MRSC Az Apache Junction Master Tenant, LLC (Visions Senior Living at Apache Junction 1)
• Hannah Mae Mueller, COTA/L
• Tina Mugford, NP

• Optometrist in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.