Active NPI
Molly West Doerr, OD
- Pediatric Optometrist
- Campbellsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 872DT
- Practice address
- 1800 Old Lebanon Rd.
Eye Institute of Kentucky
Campbellsville, KY 42718 - Phone
- (270) 789-2023
- Fax
- (270) 465-5361
- NPI assigned
- Nov 10, 2005
- Last updated
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0872DT | KY | |
| Pediatric Optometrist | 152WP0200X | 872DT | KY | Primary |
Addresses
Primary practice location
1800 Old Lebanon Rd.
Eye Institute of Kentucky
Campbellsville, KY 42718
Mailing address
1800 Old Lebanon Rd.
Eye Institute of Kentucky
Campbellsville, KY 42718
Phone (270) 789-2023
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611139709A | Other | HUMANA | |
| 00000000049084 | Other | ANTHEM | |
| 375807 | Other | CLARITY VISION | |
| 410012251 | Other | RAILROAD MEDICARE | |
| 77008720 | Medicaid | KY | |
| MD17067 | Other | SPECTERA | |
| 45001526 | Other | EPSDT MEDICAID KY | |
| 611139709 | Other | VISION CARE PLAN | |
| VF19372 | Other | VISION CARE ADVANTAGE | |
| 4643655 | Other | AETNA | |
| 911199 | Other | BLOCK VISION | |
| 0178520001 | Other | PALMETTO GBA | |
| 611139709 | Other | MED BEN | |
| KY0872 | Other | EYE MED VISION CARE | |
| 611139709 | Other | UNITED HEALTH CARE | |
| 15300 | Other | ALTERNATIVE HEALTH | |
| 32055 | Other | DAVIS VISION | |
| 5025326332 | Other | VISION SERVICE PLAN |
Other names 1
- Mrs. Molly West Doerr
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1609 N Dixie Ave
Suite 100
Elizabethtown, KY 42701-7494
Phone (270) 765-7372
2007 S Hwy 27
Suite a
Somerset, KY 42501-2954
Phone (606) 678-9953
500 Winchester Ave
Suite 810
Ashland, KY 41101-7362
Phone (606) 324-3672
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0872DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ky Doctors of Optometry, PLLC | Optometrist | Current | Accepting new patients |
| Amedco Kentucky PLLC | Optometrist | Current | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Past | Accepting new patients |
Locations
1800 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-5361
1609 N Dixie Ave
Ste 1000
Elizabethtown, KY 42701
2720 Old Rosebud Rd
Ste 110
Lexington, KY 40509
Phone (859) 373-0300
2007 S Highway 27
Ste A
Somerset, KY 42501
Phone (606) 678-9953
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eye Institute of Kentucky
- Ophthalmology Physician
- Campbellsville, KY
- NPI 1558611178
Optometrist
-
dba KY Doctors of Optometry
- Eyewear Supplier
- Louisville, KY
- NPI 1275617276
Optometrist
-
dba KY Doctors of Optometry
- Eyewear Supplier
- Ashland, KY
- NPI 1699086629
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1184605685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 OLD LEBANON RD.",
"address_2": "EYE INSTITUTE OF KENTUCKY",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "42718",
"telephone_number": "270-789-2023",
"fax_number": "270-465-5361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 OLD LEBANON RD.",
"address_2": "EYE INSTITUTE OF KENTUCKY",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "42718",
"telephone_number": "270-789-2023",
"fax_number": "270-465-5361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "MOLLY",
"middle_name": "WEST",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "0872DT",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "KY",
"license": "872DT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "611139709A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "00000000049084",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLARITY VISION",
"identifier": "375807",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410012251",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77008720",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "MD17067",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPSDT MEDICAID KY",
"identifier": "45001526",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION CARE PLAN",
"identifier": "611139709",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION CARE ADVANTAGE",
"identifier": "VF19372",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4643655",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "911199",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "0178520001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED BEN",
"identifier": "611139709",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED VISION CARE",
"identifier": "KY0872",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "611139709",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTERNATIVE HEALTH",
"identifier": "15300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "32055",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "5025326332",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "WEST DOERR",
"prefix": "MRS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.