Organization
MOULTON FAMILY EYE CARE LLC
Active
Other names
DBA Image Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HUGH MOULTON O.D. (OPTOMETRIST)
(480) 380-5116
Entity
Organization
Contact information
Practice address
1075 S IDAHO RD, SUITE 105B, APACHE JUNCTION, AZ 85119-6496
(480) 380-5116
(480) 380-0791
Mailing address
1075 S IDAHO RD, SUITE 105B, APACHE JUNCTION, AZ 85119-6496
(480) 380-5116
(480) 380-0791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1452
AZ
Other
Enumeration date
12/19/2008
Last updated
12/05/2013
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