Individual provider Active NPI

Molly Ann Rene Clymer, O.D.

  • Optometrist
  • Hanover, PA
National Provider Identifier
1003175944
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002477 Issued in PA
Practice address
250 Fame Ave Ste 225
Hanover, PA 17331-1576
Phone
(717) 524-1411
NPI assigned
May 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002477 PA Primary

Addresses

Primary practice location

250 Fame Ave Ste 225
Hanover, PA 17331-1576

Mailing address

250 Fame Ave Ste 225
Hanover, PA 17331-1576
Phone (717) 637-1919

Other names 1

  • Dr. Molly Ann Rene Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000143 PA Practitioner - Optometry 5395900609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
May Eye Care PCGroup PAC ID 4082684725, 2 clinicians

Practice addresses (Care Compare)

250 Fame Ave
Suite 225
Hanover, PA 17331-1576
Phone (717) 637-1919

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
68.27
Improvement activities
40
Cost
66.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002477PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
May Eye Care PC CurrentSince Aug 1, 2012 Accepting new patients

Locations

250 Fame Ave
Ste 225
Hanover, PA 17331
Phone (717) 524-1411

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1003175944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 225",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311576",
            "telephone_number": "717-637-1919",
            "fax_number": "717-637-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 225",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311576",
            "telephone_number": "717-524-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYMER",
        "first_name": "MOLLY ANN",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-13",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY ANN",
            "last_name": "DAVIS",
            "middle_name": "RENE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.