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DR. JOHN STEPHEN MOULTON O.D.
NPI 1174628275
Optometrist in Ft Worth, TX

Active since September 13, 2006PECOS Enrolled
6300 OAKMONT BLVD, FT WORTH, TX 76132(817) 294-2010(817) 294-2024 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Stephen Moulton O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN STEPHEN MOULTON O.D. (NPI 1174628275) is an individual optometrist in Ft Worth, Texas, licensed in Texas (3280TG) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174628275
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN STEPHEN MOULTONCredential: O.D.
Location Address6300 OAKMONT BLVDFt Worth, TX 76132-2813
Mailing Address721 Lake View DrCrowley, TX 76036-3957 · (817) 426-4240 · Fax (817) 426-3654
Phone(817) 294-2010
Fax(817) 294-2024
Sole ProprietorYes
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1174628275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 3280TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6300 OAKMONT BLVD, Ft Worth, TX 76132
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Other Identifiers 3

Medicaid917825TX
Medicare UPINT14955TX
Medicare ID-Type Unspecified00E46UTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Stephen Moulton O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAL-MART STORES TEXAS, LP
Eyewear Supplier
6300 OAKMONT BLVD
FT WORTH, TX 76132
Tarrant County (817) 263-4065
SLAVA A SEREBRO
Technician/Technologist (Optician)
6300 OAKMONT BLVD
FORT WORTH, TX 76132
Tarrant County (817) 263-0185
ALLISON ROBIN FLETCHER PHARMD
Pharmacist
6300 OAKMONT BLVD
FORT WORTH, TX 76132
Tarrant County (817) 263-6572
WAL-MART STORES TEXAS LLC
Pharmacy (Community/Retail Pharmacy)
6300 OAKMONT BLVD
FT WORTH, TX 76132
Tarrant County (817) 263-6572
DR. ELLIS R JONES O.D.
Optometrist
6300 OAKMONT BLVD
FORT WORTH, TX 76132
Tarrant County (817) 294-2010
DR ELLIS R JONES AND ASSOCIATES
Optometrist
6300 OAKMONT BLVD
FORT WORTH, TX 76132
Tarrant County (817) 294-2010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Moulton's NPI number?

The NPI number for John Moulton is 1174628275. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is John Moulton located?

John Moulton practices at 6300 Oakmont Blvd, Ft Worth, TX 76132. The listed phone number is (817) 294-2010.

What is John Moulton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is John Moulton enrolled in Medicare?

Yes. John Moulton is registered in the Medicare PECOS enrollment system.

What insurance does John Moulton accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list John Moulton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Moulton was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.