Organization Active NPI

Robert & Kimberly Molter Inc

  • Optometrist
  • Kalkaska, MI
National Provider Identifier
1841303153
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROBERT & KIMBERLY MOLTER INC
Practice address
882 M 72 NW
Kalkaska, MI 49646
Phone
(231) 258-9781
Fax
(231) 258-0616
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Robert E Molter Jr., OD
Title
President
Phone
(231) 258-9781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

882 M 72 NW
Kalkaska, MI 49646

Mailing address

PO Box 2027
Kalkaska, MI 49646-2027
Phone (231) 258-9781

Other identifiers 1

IdentifierTypeStateIssuer
080030000OtherMIMEDICARE MATERIALS

National Provider Directory

National Provider Directory

Locations

109 W Hurlbut St
Charlevoix, MI 49720
Phone (231) 547-4347

1008 Bridge St
Charlevoix, MI 49720
Phone (231) 547-7800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1841303153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2027",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496462027",
            "telephone_number": "231-258-9781",
            "fax_number": "231-258-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 M 72 NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "49646",
            "telephone_number": "231-258-9781",
            "fax_number": "231-258-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT & KIMBERLY MOLTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "MOLTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-258-9781",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MATERIALS",
            "identifier": "080030000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalkaska, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.