DR. JOHN STEPHEN MOULTON (O.D.) – Optometrist, NPI 1174628275
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JOHN STEPHEN MOULTON (O.D.)
Walmart Supercenter, 6300, Oakmont Boulevard, Fort Worth, Tarrant County, Texas, 76132, United States
FT WORTH, TX 761322813
Phone: (817) 294-2010
Fax: (817) 294-2024
Type: Location
721, Lake View Drive, Crowley, Tarrant County, Texas, 76036, United States
CROWLEY, TX 760363957
Phone: (817) 426-4240
Fax: (817) 426-3654
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $637.
Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Alcon Vision LLC ($242).
Total Amount
$637
General + Research + Ownership
Payments
7
Total payment records
General Amount
$637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $242 |
| Johnson & Johnson Vision Care, Inc. | $151 |
| Sight Sciences, Inc. | $129 |
| Tarsus Pharmaceuticals, Inc. | $115 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110613000482 | I | Optometry | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76132)
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