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DR. KEITH RONALD MOULDS OD
NPI 1487645065
Optometrist in Comstock Park, MI

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
4643 ALPINE AVE NW, A, COMSTOCK PARK, MI 49321(616) 784-8700(616) 784-8708 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Ronald Moulds Od NPPES

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

DR. KEITH RONALD MOULDS OD (NPI 1487645065) is an individual optometrist in Comstock Park, Michigan, licensed in Michigan (4901004021) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1999).

NPPES Registry Identity

NPI1487645065
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEITH RONALD MOULDSCredential: OD
Location Address4643 ALPINE AVE NW, AComstock Park, MI 49321-8179
Mailing Address4643 Alpine Ave Nw, AComstock Park, MI 49321-8179 · (616) 784-8700 · Fax (616) 784-8708
Phone(616) 784-8700
Fax(616) 784-8708
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1999
Enumeration DateNovember 2, 2005
Last NPPES UpdateMay 30, 2012
✔ NPI 1487645065 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 MI · 4901004021
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.
4643 ALPINE AVE NW, Comstock Park, MI 49321
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Other Identifiers 3

Medicare NSC1275516155MI
Medicare PINMI5371001MI
Medicaid944431615MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dr. Keith Ronald Moulds Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274749361
PECOS Enrollment IDI20120409000406
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
22 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49321 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

KEITH R MOULDS OD PC
Optometrist
4643 ALPINE AVE NW, SUITE A
COMSTOCK PARK, MI 49321
Kent County (616) 784-8700

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 Keith Moulds's NPI number?

The NPI number for Keith Moulds is 1487645065. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Keith Moulds located?

Keith Moulds practices at 4643 Alpine Ave NW A, Comstock Park, MI 49321. The listed phone number is (616) 784-8700.

What is Keith Moulds's specialty?

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

Is Keith Moulds enrolled in Medicare?

Yes. Keith Moulds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keith Moulds accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 6 other insurers list Keith Moulds 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 Keith Moulds was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.