Individual provider Active NPI

Molly S. Redmond, O.D.

  • Optometrist
  • Kalamazoo, MI
National Provider Identifier
1457462285
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003833 Issued in MI
Practice address
1000 Oakland Dr
4TH Floor
Kalamazoo, MI 49008-1282
Phone
(269) 387-7000
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3105 MN
Optometrist 152W00000X 4901003833 MI Primary

Addresses

Primary practice location

1000 Oakland Dr
4TH Floor
Kalamazoo, MI 49008-1282

Mailing address

6072 Thunder Bluff Rd
Kalamazoo, MI 49009-9127
Phone (616) 821-2752

Other identifiers 1

IdentifierTypeStateIssuer
907960000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20131007000109 MI Practitioner - Optometry 8123047297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Michigan UniversityGroup PAC ID 8426017179, 11 clinicians

Practice addresses (Care Compare)

1000 Oakland Dr
Suite 3
Kalamazoo, MI 49008-1282
Phone (269) 387-7145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003833MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Michigan University Optometrist CurrentSince May 22, 2013 Accepting new patients
Western Michigan University CurrentSince May 22, 2013 Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Locations

1000 Oakland Dr
Fl 4
Kalamazoo, MI 49008
Phone (269) 387-7000

1000 Oakland Dr
Fl 3
Kalamazoo, MI 49008
Phone (269) 387-7004

1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1457462285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6072 THUNDER BLUFF RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099127",
            "telephone_number": "616-821-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OAKLAND DR",
            "address_2": "4TH FLOOR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081282",
            "telephone_number": "269-387-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "MOLLY",
        "middle_name": "S.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3105",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907960000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.