MOULTON OPTICAL DEPARTMENT (NPI# 1235304924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235304924 |
| Entity Type | Organization |
| Organization Name | MOULTON OPTICAL DEPARTMENT |
| Practice Address |
5518 Ellsworth Rd Fort Smith AR 72903-3222 |
| Practice Telephone | 4796463937 |
| Practice Fax Number | 4796463605 |
| Mailing Telephone | 4796463937 |
| Mailing Fax Number | 4796463605 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | DR. EVERETT CROCKETT MOULTON III (PRESIDENT) |
| Authorized Official Telephone | 4796463937 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | C4990 | AR | Suppliers |
| Street Address |
5518 ELLSWORTH RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393918 | Center for Sight of Fort Smith Pa | Ophthalmology | 5518 Ellsworth Rd, Fort Smith, AR 72903-3222 | 2005-11-16 |
| 1073788212 | Stacy R Tait Pa | Anesthesiology | 5518 Ellsworth Rd, Fort Smith, AR 72903-3222 | 2008-04-29 |
| 1609858554 | Everett C. Moulton IIi | Ophthalmology | 5518 Ellsworth Rd, Fort Smith, AR 72903-3222 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912149725 | Calvin F Graham, Inc | Eyewear Supplier (Equipment, not the service) | 1001 Lexington Ave, Fort Smith, AR 72901-4945 | 2009-03-26 |
| 1386790897 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5111 Rogers Ave Ste 54, Fort Smith, AR 72903 | 2007-01-26 |
| 1366414187 | Eye Group, LLC | Eyewear Supplier (Equipment, not the service) | 7901 Dallas Street, Fort Smith, AR 72903-4281 | 2006-02-06 |
| 1568851426 | Sears Optical | Eyewear Supplier (Equipment, not the service) | 5111 Rogers Ave, Suite 19, Fort Smith, AR 72903-2047 | 2015-01-15 |
| 1265830202 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4189 Phoenix Ave, Fort Smith, AR 72903-6013 | 2014-12-08 |
| 1376875864 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5111 Rogers Ave, Fort Smith, AR 72903-2047 | 2010-02-08 |
| 1679793442 | Eye Group, LLC | Eyewear Supplier (Equipment, not the service) | 500 N 6th St, Fort Smith, AR 72901-2006 | 2007-04-26 |
| 1023238870 | Eye Group, LLC | Eyewear Supplier (Equipment, not the service) | 2401 S Waldron Rd, Fort Smith, AR 72903-3736 | 2007-04-26 |
| 1992884829 | Optical Shop | Eyewear Supplier (Equipment, not the service) | 7901 Dallas St, Fort Smith, AR 72903-4281 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093225633 | Success Vision Express of Conway | Eyewear Supplier (Equipment, not the service) | 1100 S Amity Rd Ste B, Conway, AR 72032-8106 | 2017-10-10 |
| 1356886360 | Success Vision Express of Hot Springs, LLC | Eyewear Supplier (Equipment, not the service) | 4043 Central Ave, Ste A, Hot Springs, AR 71913-7208 | 2016-12-29 |
| 1427316488 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 | 2012-04-27 |
| 1437471588 | Deer Optical | Eyewear Supplier (Equipment, not the service) | 4942 W Markham St, Little Rock, AR 72205-3732 | 2010-02-17 |
| 1548591118 | Camp Eye Care Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 2601 E Race Ave, Suite 3, Searcy, AR 72143-4774 | 2010-01-21 |
| 1336300730 | Schroeder Optical | Eyewear Supplier (Equipment, not the service) | 9600 Lile Dr Ste 260, Little Rock, AR 72205-6373 | 2008-06-19 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1144415761 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2600 S Shackleford Road, Jc Penney Optical, Little Rock, AR 72205 | 2007-09-06 |
| 1093905721 | Pharmedic, Inc | Eyewear Supplier (Equipment, not the service) | 4425 Central Ave, Suite A, Hot Springs, AR 71913 | 2007-07-30 |
| 1326242710 | Prescription Lens, Inc. | Eyewear Supplier (Equipment, not the service) | 320 S Church St, Jonesboro, AR 72401-2912 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on MOULTON OPTICAL DEPARTMENT.
| 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.