Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Keith Ronald Moulds, OD

Individual provider Optometrist · NPI 1487645065

Dr. Keith Ronald Moulds, OD is an Optometry in Comstock Park, Michigan. Graduated from Ferris State College - College of Optometry in 1999, 27 years ago. Practices with Ferris State University, a 27-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Trained at
Ferris State College - College of Optometry
Licensed in
MI
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4643 Alpine Ave NW A
Comstock Park, MI 49321-8179
Phone: (616) 784-8700
Fax: (616) 784-8708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901004021 (MI)

Record details

NPI number1487645065
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESMay 30, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 1999 (27 years in practice)
Group practice Ferris State University — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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