Individual provider Active NPI

Amy Molina, O.D.

  • Optometrist
  • Saint Charles, MO
National Provider Identifier
1134591571
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2015029734 Issued in MO
Practice address
3513 Harry S Truman Blvd
Saint Charles, MO 63301-4077
Phone
(636) 688-7500
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2015029734 MO Primary

Addresses

Primary practice location

3513 Harry S Truman Blvd
Saint Charles, MO 63301-4077

Mailing address

3513 Harry S Truman Blvd
Saint Charles, MO 63301-4077
Phone (636) 688-7500

Other practice location 1

12990 Manchester Rd Ste 201
Des Peres, MO 63131-1860
Phone (314) 266-2173

Other practice location 2

12692 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128-2746
Phone (314) 432-5478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220808001801 MO Practitioner - Optometry 9931591849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Consultants LLCGroup PAC ID 6800884008, 22 clinicians

Practice addresses (Care Compare)

12990 Manchester Rd
Suite 200
Saint Louis, MO 63131-1860
Phone (314) 966-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015029734MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Consultants, LLC CurrentSince May 1, 2023 Accepting new patients
Ophthalmology Consultants, LLC Optometrist CurrentSince May 1, 2023 Accepting new patients

Locations

1224 Graham Rd
Ste 2007
Florissant, MO 63031
Phone (314) 837-3667

3513 Harry S Truman Blvd
Saint Charles, MO 63301
Phone (636) 688-7500

12990 Manchester Rd
Ste 201
Saint Louis, MO 63131
Phone (314) 909-0633

12692 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128
Phone (314) 432-5478

621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300

12990 Manchester Rd
Ste 200
Saint Louis, MO 63131
Phone (314) 966-5000

Interoperability endpoints

  • Direct secure messaging: amy.molina.p1@direct.ocltd.nextgenshare.com
  • Direct secure messaging: amy.molina.p2@direct.ocltd.nextgenshare.com

Organizations & group practices 2

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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1134591571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 HARRY S TRUMAN BLVD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014077",
            "telephone_number": "636-688-7500",
            "fax_number": "636-688-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 HARRY S TRUMAN BLVD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014077",
            "telephone_number": "636-688-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12990 Manchester Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Des Peres",
            "state": "MO",
            "postal_code": "631311860",
            "country_code": "US",
            "telephone_number": "314-266-2173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12692 Lamplighter Square Shpg Ctr",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282746",
            "country_code": "US",
            "telephone_number": "314-432-5478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "AMY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2015029734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.