Individual
ERIC MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., PH.D
Contact information
Practice address
300 LONGWOOD AVE, DEPARTMENT OF OPHTHALMOLOGY, FEGAN 4, BOSTON, MA 02115-5724
(617) 355-6401
Mailing address
300 LONGWOOD AVE, DEPARTMENT OF OPHTHALMOLOGY, FEGAN 4, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5201
MA
152WP0200X
Pediatric Optometrist
Primary
5201
MA
Other
Enumeration date
03/01/2017
Last updated
04/22/2020
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