Active NPI
Mollie Veteto, O.D.
- Optometrist
- Alamogordo, NM
National Provider Identifier
1568871309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT717
- Practice address
- 903 New York Ave
Alamogordo, NM 88310-6919 - Phone
- (575) 437-7783
- Fax
- (575) 439-0615
- NPI assigned
- Aug 6, 2014
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5455 | FL | |
| Optometrist | 152W00000X | OPT0003356 | CO | |
| Optometrist | 152W00000X | 3363 | TN | |
| Optometrist | 152W00000X | 2704 | AR | |
| Optometrist | 152W00000X | 1789 | LA | |
| Optometrist | 152W00000X | OPT717 | NM | Primary |
Addresses
Primary practice location
903 New York Ave
Alamogordo, NM 88310-6919
Mailing address
903 New York Ave
Alamogordo, NM 88310-6919
Phone (575) 437-7783
Other names 1
- Dr. Mollie Broadway
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
903 New York Ave
Alamogordo, NM 88310-6919
Phone (575) 437-7783
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1789 | LA | MD | Registered Dietitian |
| 2704 | AR | MD | Optometrist |
| OPT0003356 | CO | MD | Optometrist |
| OPC5455 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelo Eye Associates PA | Optometrist | Current | Accepting new patients |
| Veteto Vision Center, LLC | Optometrist | Current | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients |
Locations
903 New York Ave
Alamogordo, NM 88310
Phone (505) 437-7783
1721 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 944-8531
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.
-
- Optometrist
- Alamogordo, NM
- NPI 1598371833
-
- Optometrist
- San Angelo, TX
- NPI 1366591539
-
- Optician
- Bartlett, TN
- NPI 1396104006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1568871309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 NEW YORK AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883106919",
"telephone_number": "575-437-7783",
"fax_number": "575-439-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 NEW YORK AVE",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883106919",
"telephone_number": "575-437-7783",
"fax_number": "575-439-0615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VETETO",
"first_name": "MOLLIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5455",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT0003356",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3363",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2704",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1789",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "OPT717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLIE",
"last_name": "BROADWAY",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.