DR. KEITH RONALD MOULDS (NPI# 1487645065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487645065 |
| Entity Type | Individual |
| Full Name | DR. KEITH RONALD MOULDS |
| Credential | OD |
| Practice Address |
4643 Alpine Ave Nw A Comstock Park MI 49321-8179 |
| Practice Telephone | 6167848700 |
| Practice Fax Number | 6167848708 |
| Mailing Telephone | 6167848700 |
| Mailing Fax Number | 6167848708 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004021 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 944431615 | 05 |
| Street Address |
4643 ALPINE AVE NW A |
| City | COMSTOCK PARK |
| State | MI |
| Zip Code | 49321-8179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194218313 | Courtney L Schneider | Optometrist | 4643 Alpine Ave Nw, Comstock Park, MI 49321-8179 | 2018-06-12 |
| 1275516155 | Keith R Moulds Od PC | Optometrist | 4643 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8179 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| 1417497892 | Debra Andree | Custodial Care Facility | 609-7 Mile Rd Nw, Comstockpark, MI 49321 | 2017-03-03 |
| 1821484700 | Allan Smith | Registered Nurse | 441 Chasseral Dr Ne, Apt A1, Comstock Park, MI 49321 | 2015-04-08 |
| 1518083864 | Alpine Family Dentistry PC | Dentist | 4040 Alpine Ave Nw, Comstock Park, MI 49321 | 2007-03-21 |
| 1548345630 | James P Patyi | Optometrist | 3999 Alpine Ave, Comstock Park, MI 49321 | 2006-10-26 |
| 1871689638 | Kent Pediatrics, PC | Pediatrics | 4735 West River Dr., Comstock Park, MI 49321 | 2006-10-05 |
| 1053804534 | Zachary Eddy | Physical Therapist | 4615 W River Dr Ne, Comstock Park, MI 49321-7924 | 2018-06-11 |
| 1326052929 | Gregory P. Houghteling | Dentist | 6655 Alpine Ave Nw, Comstock Park, MI 49321-8000 | 2006-07-28 |
| 1194084780 | Detalmax PC | Dentist | 6655 Alpine Ave Nw, Suite 1, Comstock Park, MI 49321-8000 | 2012-05-16 |
| 1154361293 | Jeffrey John Vrielink | Psychiatry & Neurology | 6410 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8001 | 2006-06-07 |
| Find all providers in zip 49321 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548345630 | James P Patyi | Optometrist | 3999 Alpine Ave, Comstock Park, MI 49321 | 2006-10-26 |
| 1225642408 | Alpine Vision Center Pllc | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2020-09-03 |
| 1124512447 | Matthew Black | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2018-06-20 |
| 1194218313 | Courtney L Schneider | Optometrist | 4643 Alpine Ave Nw, Comstock Park, MI 49321-8179 | 2018-06-12 |
| 1659434389 | Jeffrey Michael Thompson | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2006-12-16 |
| 1275516155 | Keith R Moulds Od PC | Optometrist | 4643 Alpine Ave Nw, Suite A, Comstock Park, MI 49321-8179 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
| Find all providers with the same taxonomy | ||||
| City | COMSTOCK PARK |
| Zip Code | 49321 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.