Kandi S. Moller, OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2733 ATI Issued in OR

Legal business name

KANDI S. MOLLER, OD, LLC

Practice address

3031 Killdeer Ave SE
Albany, OR 97322-5325

Phone

(541) 926-2521

Fax

(541) 918-7065

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Kandi Sue Moller, OD

Title

Sole Member

Phone

(541) 926-2521

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1487981197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 8TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212053",
            "telephone_number": "541-926-2521",
            "fax_number": "541-918-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 KILLDEER AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225325",
            "telephone_number": "541-926-2521",
            "fax_number": "541-918-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDI S. MOLLER, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "MOLLER",
        "authorized_official_first_name": "KANDI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-926-2521",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2733 ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter Kachel
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• Roheet Ashok Kakaday
• Swati S Kakodkar, M.D.
• Corinne Kamlade
• Karen Cox Counseling Inc (Karen Cox LCSW)
• Mike Kauffman
• Samuel M. Kaye, M.D.
• Kevin Francis Keenan, MS, LPC
• Yvonne Elaine Keep, FNP-BC

• Optometrist in Albany, OR
• Providers in Albany, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.