Organization
KEITH R MOULDS OD PC
Active
Other names
Alphine Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH R MOULDS OD (PRESIDENT)
(616) 784-8700
Entity
Organization
Contact information
Practice address
4643 ALPINE AVE NW, SUITE A, COMSTOCK PARK, MI 49321-8179
(616) 784-8700
(616) 784-8708
Mailing address
4643 ALPINE AVE NW, SUITE A, COMSTOCK PARK, MI 49321-8179
(616) 784-8700
(616) 784-8708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004021
MI
Other
Enumeration date
11/23/2005
Last updated
05/30/2012
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