Moulton Family Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1452 Issued in AZ

Legal business name

MOULTON FAMILY EYE CARE LLC

Doing business as

DBA Image Eyecare

Practice address

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

Phone

(480) 380-5116

Fax

(480) 380-0791

NPI assigned

Dec 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jason Hugh Moulton, O.D.NPI 1841238565

Title

Optometrist

Phone

(480) 380-5116

Specialties & licenses 1

Addresses

Other names 1

• DBA Image Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Hugh Moulton, O.D.

  • Optometrist
  • Apache Junction, AZ
  • NPI 1841238565
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1942446083",
    "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": {
        "organization_name": "MOULTON FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "480-380-5116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Image Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monument Management Services
• Kelly Moorehouse, RN
• Claudia K Morris
• Michael Perry Morris, D.C.
• Cali Morrow
• Jason Hugh Moulton, O.D.
• 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

• 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 Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.