Molly K Welty, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005143 Issued in MI

Practice address

117 S Main St
Ann Arbor, MI 48104

Phone

(734) 665-5306

Fax

(734) 665-5522

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Molly K Gorder Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mollygorder@direct.eyecare-partners.com

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.

• All About Eyes, LLC

  • Optometrist
  • Centennial, CO
  • NPI 1912224585
  Medicare reassignment NPD
• Lisa M Hamilton, PC

  • Optometrist
  • Littleton, CO
  • NPI 1033320361
  Medicare reassignment

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1649700444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041902",
            "telephone_number": "734-665-5306",
            "fax_number": "734-665-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-665-5306",
            "fax_number": "734-665-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 Thf Blvd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630051141",
            "country_code": "US",
            "telephone_number": "636-537-0700",
            "fax_number": "636-536-2066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2623 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481052468",
            "country_code": "US",
            "telephone_number": "734-930-2373",
            "fax_number": "734-930-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELTY",
        "first_name": "MOLLY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017019323",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "GORDER",
            "middle_name": "K",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grant Jonathon Welmers, NP
• Carol Campbell Welsch, MSW
• Brenden Andrew Welsh, PA-C
• Benjamin Welton
• Kristina Linnea Welton, MD
• Kelsey Ann Wendland, CCC-SLP
• Stephanie Valley Wenglikowski, N.P.
• Earl Wenk, LAT ATC
• Rudy Westfall Wenner, MD
• Donald Wennersten, D.D.S.

• Optometrist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.