Eric Moulton, O.D., Ph.D

Optometrist, Pediatrics in Boston, MA. Individual provider (NPI-1).

NPI number1669912283

StatusActive

Last updated in NPPESApr 22, 2020

Details

NPI: 1669912283
Entity type: Individual (NPI-1)
Name: Eric Moulton
Credential: O.D., Ph.D
Sex: Male
Sole proprietor: No
Enumeration date: Mar 1, 2017
Certification date: Apr 22, 2020
Last updated: Apr 22, 2020

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - OPTOMETRY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152WP0200X	Optometrist, Pediatrics	5201	MA	Yes
152W00000X	Optometrist	5201	MA

Practice location

300 Longwood Ave
Department Of Ophthalmology, Fegan 4
Boston, MA 02115-5724

Phone 617-355-6401

Mailing address

300 Longwood Ave
Department Of Ophthalmology, Fegan 4
Boston, MA 02115-5724

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Other Pediatric Optometrist providers in Boston, MA

All 10 Pediatric Optometrist providers in Boston · All 44,461 providers in Boston

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