DR. John Stephen Moulton, O.D.

NPI #1174628275 in Ft Worth, Texas

Provider Information

NPI Number: 1174628275
Entity Type: Individual
Name: DR. John Stephen Moulton, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 13, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 6300 OAKMONT BLVD
City: Ft Worth
State: Texas
ZIP Code: 76132-2813
Phone: (817) 294-2010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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