Individual provider Active NPI

Molly Elizabeth Guzic, OD

  • Optometrist
  • Greencastle, PA
National Provider Identifier
1205911435
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000485 Issued in PA
Practice address
125 S Antrim Way
Greencastle, PA 17225-1521
Phone
(717) 597-4780
NPI assigned
Oct 26, 2006
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1012OD WV
Optometrist 152W00000X OEG000485 PA Primary

Addresses

Primary practice location

125 S Antrim Way
Greencastle, PA 17225-1521

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Other practice location 1

910 Foxcroft Ave
Martinsburg, WV 25401-1835
Phone (304) 267-9911

Other identifiers 3

IdentifierTypeStateIssuer
61586401OtherMDCAREFIRST BCBS
454002600MedicaidMD
GU1753225OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Dr. Molly Elizabeth Dula Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050901000458 PA Practitioner - Optometry 4284666157 Reassigns benefits to 1 organization
I20200401000280 WV Practitioner - Optometry 4284666157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 S Antrim Way
Greencastle, PA 17225-1521
Phone (717) 597-4780

910 Foxcroft Ave
Martinsburg, WV 25401-1835
Phone (304) 267-9911

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000485PAMDOptometrist
1012ODWVMDOptometrist
1012WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Dec 27, 2016 Accepting new patients
Myeyedr Optometry of Pennsylvania LLC Optometrist CurrentSince Dec 27, 2016 Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Feb 23, 2020 Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Feb 23, 2020 Accepting new patients
Allegany Optical LLC Optometrist Past Accepting new patients

Locations

319 York Rd
Carlisle, PA 17013
Phone (717) 258-4422

40 Noble Blvd
Ste 120
Carlisle, PA 17013
Phone (717) 218-6656

1039 Wayne Ave
Chambersburg, PA 17201
Phone (717) 263-2389

1039 Wayne Ave
Ste 626
Chambersburg, PA 17201

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

341 Baltimore Rd
Shippensburg, PA 17257
Phone (717) 532-8806

1800 E Main St
Waynesboro, PA 17268
Phone (717) 762-9178

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

838 Somerset Blvd
Charles Town, WV 25414
Phone (304) 725-4828

910 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 267-9911

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1205911435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S ANTRIM WAY",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251521",
            "telephone_number": "717-597-4780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Foxcroft Ave",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254011835",
            "country_code": "US",
            "telephone_number": "304-267-9911",
            "fax_number": "304-267-9914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZIC",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1012OD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "61586401",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454002600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "GU1753225",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "DULA",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greencastle, PA

Sources for this page

Verify at the official NPI Registry.