Individual provider Active NPI

Mollie Veteto, O.D.

  • Optometrist
  • Alamogordo, NM
National Provider Identifier
1568871309
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT717 Issued in NM
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

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201110000311 NM Practitioner - Optometry 1456761154 Reassigns benefits to 1 organization
I20250529001244 TX Practitioner - Optometry 1456761154 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1789LAMDRegistered Dietitian
2704ARMDOptometrist
OPT0003356COMDOptometrist
OPC5455FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Angelo Eye Associates PA Optometrist CurrentSince Mar 28, 2025 Accepting new patients
Veteto Vision Center, LLC Optometrist CurrentSince Sep 28, 2020 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.

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

Verify at the official NPI Registry.