Active NPI
Molly Marie Wharton
- Optometrist
- Hillsboro, OR
National Provider Identifier
1376646372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1814T
- Practice address
- 19400 NW Evergreen Pkwy
Hillsboro, OR 97124-7031 - Phone
- (503) 690-5015
- Fax
- (503) 690-5034
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 10, 2007
- 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 | 1814T | OR | Primary |
| Optometrist | 152W00000X | OD00003969 | WA |
Addresses
Primary practice location
19400 NW Evergreen Pkwy
Hillsboro, OR 97124-7031
Mailing address
19400 NW Evergreen Parkway
Hillsboro, OR 97124
Phone (503) 690-5015
Other names 1
- Molly Marie Braun
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1814 | OR | MD | Clinical Psychologist |
| 1814T | OR | MD | Optometrist |
| OD00003969 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Hills Vision Clinic Inc | Optometrist | Past | Accepting new patients |
| Kirk Parker OD P C | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Portland, OR
- NPI 1417130030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1376646372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19400 NW EVERGREEN PARKWAY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "97124",
"telephone_number": "503-690-5015",
"fax_number": "503-690-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19400 NW EVERGREEN PKWY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247031",
"telephone_number": "503-690-5015",
"fax_number": "503-690-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHARTON",
"first_name": "MOLLY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "1814T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003969",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "BRAUN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.