SearchMichiganOptometrist

Keith Moulds, OD

NPI 1487645065 · on the registry since 2005

Practice

Address
4643 Alpine Ave Nw
A
Comstock Park, MI 49321
Phone
(616) 784-8700
Fax
(616) 784-8708
Organisation at this address
Keith R Moulds Od Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-05-30
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan