OrganizationActive
Moulton Optical Department
NPI 1235304924 · Eyewear Supplier · Fort Smith, AR
Provider details
- NPI number
- 1235304924
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Everett Moulton, President(479) 646-3937
- License
- C4990 (AR)
Specialties & taxonomies
Suppliers
Practice location
5518 Ellsworth Rd
Fort Smith, AR 72903-3222
Phone: (479) 646-3937
Fax: (479) 646-3605
Approximate (ZIP-level) locationGet directions
Mailing address
5518 Ellsworth Rd
Fort Smith, AR 72903-3222
Registry dates
- Enumerated
- 2008-04-24
- Last updated
- 2019-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.