| Keith R Moulds Od Pc | |
|
4643 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8179 | |
| (616) 784-8700 | |
| (616) 784-8708 |
| Full Name | Keith R Moulds Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4643 Alpine Ave Nw, Comstock Park, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275516155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004021 (Michigan) | Primary |
| Provider Name | Keith R Moulds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487645065 PECOS PAC ID: 3274749361 Enrollment ID: I20120409000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith R Moulds Od Pc 4643 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8179 Ph: (616) 784-8700 | Keith R Moulds Od Pc 4643 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8179 Ph: (616) 784-8700 |
Matthew Black, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3901 Alpine Ave Nw, Comstock Park, MI 49321 Phone: 616-647-2213 | |
Alpine Vision Center Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3901 Alpine Ave Nw, Comstock Park, MI 49321 Phone: 616-894-6060 | |
Dr. Keith Ronald Moulds, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4643 Alpine Ave Nw, A, Comstock Park, MI 49321 Phone: 616-784-8700 Fax: 616-784-8708 | |
James P Patyi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3999 Alpine Ave, Comstock Park, MI 49321 Phone: 616-784-0229 Fax: 616-784-0286 | |
Dr. Jeffrey Michael Thompson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3901 Alpine Ave Nw, Comstock Park, MI 49321 Phone: 616-647-2213 |