Dr John Stephen Moulton, OD | |
6300 Oakmont Blvd, Ft Worth, TX 76132-2813 | |
(817) 294-2010 | |
(817) 294-2024 |
Full Name | Dr John Stephen Moulton |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 6300 Oakmont Blvd, Ft Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174628275 | NPI | - | NPPES |
917825 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3280TG (Texas) | Primary |
Provider Name | Texas Stellar Optometry |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477020980 PECOS PAC ID: 4688912298 Enrollment ID: O20190206001724 |
Mailing Address | Practice Location Address |
---|---|
Dr John Stephen Moulton, OD 721 Lake View Dr, Crowley, TX 76036-3957 Ph: (817) 426-4240 | Dr John Stephen Moulton, OD 6300 Oakmont Blvd, Ft Worth, TX 76132-2813 Ph: (817) 294-2010 |
Dr. Bernardo Behrens, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1880 Carswell Avenue, Ft Worth, TX 76127 Phone: 505-313-6506 | |
Huynh Vision Services Inc Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1405 W Berry St, Ft Worth, TX 76110 Phone: 817-923-3653 Fax: 817-921-9599 | |
Mr. Jeffrey Scott Snyder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2413 E Loop 820 N, Ft Worth, TX 76118 Phone: 888-964-6681 Fax: 888-662-0859 | |
Dr. Anita H. Hall Vincent, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8351 Anderson Blvd, Ft Worth, TX 76120 Phone: 817-801-3203 | |
Dr. Drew Appling, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4400 Bryant Irvin Rd, Ft Worth, TX 76132 Phone: 817-989-2525 |