Mark J Moll, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3370 Issued in FL

Practice address

204 S Parrott Ave
Okeechobee, FL 34974-4339

Phone

(863) 467-8382

NPI assigned

Jan 16, 2007

Last updated

Nov 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mark J Moll OD LLC

  • Optometrist
  • Okeechobee, FL
  • NPI 1447429220
  Authorized official Same address or phone
• Daniel L Ritz

  • Optometrist
  • Belleview, FL
  • NPI 1972773414
  NPD (past)
• Florida Eye Institute, P.a.

  • Specialist
  • Vero Beach, FL
  • NPI 1053356337
  NPD (past)
• Star Medical FL PLLC

  dba InFocus Eyecare

  • Optometrist
  • Belleview, FL
  • NPI 1164344172
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1477605111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349744339",
            "telephone_number": "863-467-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349744339",
            "telephone_number": "863-467-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLL",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael a Garvin, DPM, PA
• Mid Florida Radiation Oncology Asso (Green Day Medical Oncology and Hematology)
• Mid-Florida Radiation Oncology PA (Okeechobee Cancer Center)
• Amber Leigh Middleton
• Mohammad Riaz MD
• Lisa Molyneaux, LCSW, ACSW
• Julian A Moore, M.D.
• Alexis Ann Morgan
• Darby B Morgan, ARNP
• Melissa Kathryn Morris, ARNP

• Optometrist in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.