Individual provider Active NPI

Masha L Molodyh, OD

  • Optometrist
  • Wilsonville, OR
National Provider Identifier
1356902209
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4445ATI Issued in OR
Practice address
30020 SW Boones Ferry Rd Ste 10
Wilsonville, OR 97070-8912
Phone
(503) 570-0963
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4445ATI OR Primary

Addresses

Primary practice location

30020 SW Boones Ferry Rd Ste 10
Wilsonville, OR 97070-8912

Mailing address

307 Monitor Rd
Silverton, OR 97381-1212
Phone (503) 910-5528

Other practice location 1

831 Lancaster Dr NE
Salem, OR 97301-2676
Phone (503) 399-7556

Other names 1

  • Masha Cheung Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250610003123 TX Practitioner - Optometry 6204168297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians
El Reno Indian Health CenterGroup PAC ID 5193627263, 52 clinicians

Practice addresses (Care Compare)

10321 N
Suite 2274
Clinton, OK 73601-7521

10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410

1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 234-5600

Hospital & facility affiliations

  • Lawton Indian Hospital Hospital, Lawton, OK, CCN 370170

Merit-based Incentive Payment System (MIPS)

Final score
80.37 of 100Reported as group
Quality
68.21
Improvement activities
40
Cost
76.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4445ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Watonga Indian Health Center CurrentSince May 4, 2025 Accepting new patients
Eyecare Associates PC Optometrist CurrentSince Oct 1, 2019 Accepting new patients
Clinton Indian Health Center CurrentSince May 4, 2025 Accepting new patients
El Reno Indian Health Center CurrentSince May 4, 2025 Accepting new patients
Estes Enterprizes, LLC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients
Bridgeport Eye Physicians, LLC Optometrist Past Accepting new patients

Locations

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991

2119 Pacific Blvd SW
Ste 101
Albany, OR 97321
Phone (541) 928-2020

904 Pacific Blvd SE
Albany, OR 97321
Phone (541) 928-2020

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

227 NW 3rd St
Corvallis, OR 97330
Phone (541) 757-1120

2400 NW Century Dr
Corvallis, OR 97330
Phone (541) 752-4622

2930 NE West Devils Lake Rd
Ste 2
Lincoln City, OR 97367
Phone (541) 217-0054

Interoperability endpoints

  • Direct secure messaging: masha.molodyh.d2.p1@direct.eca.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1356902209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MONITOR RD",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811212",
            "telephone_number": "503-910-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30020 SW BOONES FERRY RD STE 10",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708912",
            "telephone_number": "503-570-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 Lancaster Dr NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012676",
            "country_code": "US",
            "telephone_number": "503-399-7556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLODYH",
        "first_name": "MASHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4445ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASHA",
            "last_name": "CHEUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilsonville, OR

Sources for this page

Verify at the official NPI Registry.