Keith R Moulds Od PC
NPI 1275516155ActiveOrganization· Optometrist· Comstock Park, MI
Optometrist in Comstock Park, Michigan, registered in NPPES in November 2005. The authorized official on file is Keith R. Moulds, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275516155 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 23, 2005 |
| Last updated in NPPES | May 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901004021 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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