ERIC MOULTON


Address: 300 Longwood Ave, Department of Ophthalmology, Fegan 4, Boston, MA 02115-5724
Phone: 6173556401

ERIC MOULTON (NPI# 1669912283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669912283
Entity Type Individual
Full Name ERIC MOULTON
Credential O.D., PH.D
Practice Address 300 Longwood Ave
Department of Ophthalmology, Fegan 4
Boston
MA 02115-5724
Practice Telephone 6173556401
Enumeration Date 2017-03-01
Last Update Date 2020-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist 5201 MA Eye and Vision Services Providers
Y 152WP0200X Optometrist
Specialization: Pediatrics 		5201 MA Eye and Vision Services Providers

Office Location

Street Address 300 LONGWOOD AVE
DEPARTMENT OF OPHTHALMOLOGY, FEGAN 4
City BOSTON
State MA
Zip Code 02115-5724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588667539 Barry Grant Zallen Pediatrics 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 2005-05-23
1730780669 Hannah Fraser Registered Nurse 300 Longwood Ave, Boston, MA 02115-5724 2020-11-06
1164023776 Hannah Brewer Social Worker 300 Longwood Ave, Boston, MA 02115-5724 2020-11-02
1104423680 Justin Matthias Hintze Otolaryngology 300 Longwood Ave, Boston, MA 02115-5724 2020-10-07
1295340388 Kathryn Theresa Moffa Psychologist 300 Longwood Ave, Boston, MA 02115-5724 2020-09-15
1144835224 Abby Elizabeth Bandi Social Worker 300 Longwood Ave, Boston, MA 02115-5724 2020-09-15
1558976845 Hilary Segar Garber Nurse Practitioner 300 Longwood Ave, Boston, MA 02115-5724 2020-09-13
1063026003 Lauren M Dilullo Psychologist 300 Longwood Ave, Boston, MA 02115-5724 2020-09-08
1013521004 Carl Britto Student in an Organized Health Care Education/Training Program 300 Longwood Ave, Boston, MA 02115-5737 2020-09-07
1760096887 Rebecca Marie Leslie Nurse Practitioner 300 Longwood Ave, Boston, MA 02115-5724 2020-09-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
Find all providers in zip 02115

Taxonomy Information

Taxonomy Code 152WP0200X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Pediatrics

Taxonomy Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679098719 Emily Katrina Wiecek Optometrist 930 Commonwealth Ave, Boston, MA 02215-1274 2017-08-10
1740699016 Anna Kirillova Optometrist 300 Longwood Ave, Boston, MA 02115-5724 2014-08-11
1104908458 Kimberley W. Chan Optometrist 243 Charles St, Boston, MA 02114-3002 2006-10-19
1992811509 Anna Maria Baglieri Optometrist 930 Commonwealth Ave Suite 2a, New England Eye Institute, Boston, MA 02215 2006-08-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699709691 Pediatric Ophthalmic Associates, Inc. Optometrist 181 Concord St, Framingham, MA 01702-8305 2006-07-10
1255317830 Anthony Joseph Foti Optometrist 200 Jefferson Rd, Suite 102, Wilmington, MA 01887-1963 2005-12-15
1659835528 Damyanova Eye Associates Optometrist 427 Lynnway, Lynn, MA 01905-3028 2019-01-25
1003002155 Harvard Square Eye Care P.C. Optometrist 19 Dunster St, Cambridge, MA 02138-5002 2007-09-22
1508076027 Jennifer Hartzell Calnan Optometrist 19 Village Sq, Chelmsford, MA 01824-2712 2007-05-23
1164439824 Amy Roan Moy Optometrist 75 Bickford St, Eye Clinic, Jamaica Plain, MA 02130-1401 2006-08-02

Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

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.

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