Individual provider Active NPI

Molly Proud, OD

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1689236143
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003566 Issued in PA
Practice address
2242 Murray Ave
Pittsburgh, PA 15217-2308
Phone
(412) 422-5300
Fax
(412) 422-5360
NPI assigned
Jul 5, 2019
Last updated
Jul 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003566 PA Primary

Addresses

Primary practice location

2242 Murray Ave
Pittsburgh, PA 15217-2308

Mailing address

211 E Broadway
Alton, IL 62002-6220
Phone (618) 462-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190829003204 PA Practitioner - Optometry 1456689389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Perka McCauley and CelinGroup PAC ID 3678511854, 7 clinicians

Practice addresses (Care Compare)

1000 Brooktree Rd
Suite 100
Wexford, PA 15090-9286
Phone (724) 935-6666

5450 William Flynn Hwy
Gibsonia, PA 15044-9652
Phone (724) 443-6200

956 Perry Hwy
Pittsburgh, PA 15237-2107
Phone (412) 364-9969

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Jul 9, 2019 Accepting new patients
Alexander Chang MD PC CurrentSince Sep 1, 2020 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Jul 9, 2019 Accepting new patients
Alexander Chang MD PC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
DRS Perka McCauley & Celin Optometrist CurrentSince Nov 14, 2022 Accepting new patients

Locations

211 E Broadway
Alton, IL 62002
Phone (314) 787-0681

3380 Washington Rd
Ste 2
Mc Murray, PA 15317
Phone (412) 429-2020

2101 Greentree Rd
Ste 105
Pittsburgh, PA 15220
Phone (412) 429-2020

956 Perry Hwy
Pittsburgh, PA 15237
Phone (412) 364-9969

1000 Brooktree Rd
Ste 300
Wexford, PA 15090
Phone (214) 242-2267

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

Organizations & group practices 5

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1689236143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BROADWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026220",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 MURRAY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172308",
            "telephone_number": "412-422-5300",
            "fax_number": "412-422-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUD",
        "first_name": "MOLLY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.