Individual provider Active NPI

Molly Glover, OD

  • Optometrist
  • Princeton, NC
National Provider Identifier
1508533639
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2661 Issued in NC
Practice address
110 E Edwards St
Princeton, NC 27569-7279
Phone
(919) 936-2020
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2661 NC Primary

Addresses

Primary practice location

110 E Edwards St
Princeton, NC 27569-7279

Mailing address

201A Wilshire Way
Goldsboro, NC 27534-9130
Phone (919) 223-0247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210910000080 NC Practitioner - Optometry 2567868953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Sherill Glover OD PLLCGroup PAC ID 6103951264, 2 clinicians

Practice addresses (Care Compare)

110 E Edwards St
Princeton, NC 27569-7279
Phone (919) 936-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Services OD PLLC Optometrist CurrentSince Aug 31, 2021 Accepting new patients
M Sherill Glover OD PLLC Optometrist CurrentSince Aug 30, 2021 Accepting new patients
Bladen Eye Center OD PLLC Optometrist CurrentSince Aug 30, 2021 Accepting new patients

Locations

818 Pine Grove Dr
#B
Wilmington, NC 28409
Phone (910) 793-2010

818B Pine Grove Dr
Wilmington, NC 28409
Phone (910) 793-2010

Interoperability endpoints

  • Direct secure messaging: mrglover@msglover.eyefinity-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1508533639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201A WILSHIRE WAY",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349130",
            "telephone_number": "919-223-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E EDWARDS ST",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275697279",
            "telephone_number": "919-936-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "MOLLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NC

Sources for this page

Verify at the official NPI Registry.