Kimberly S Molter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003200 Issued in MI

Practice address

1008 Bridge St
Charlevoix, MI 49720-1602

Phone

(231) 547-7800

Fax

(231) 547-7874

NPI assigned

Aug 12, 2006

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

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

Practice roles

Locations

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.

• Gaylord Eye Care Center Inc

  • Optometrist
  • Gaylord, MI
  • NPI 1306827837
  Medicare reassignment NPD
• Ferris State University

  dba University Eye Center

  • Optometrist
  • Big Rapids, MI
  • NPI 1871510859
  Medicare reassignment
• Robert & Kimberly Molter Inc

  dba Eye Health of Charlevoix

  • Optometrist
  • Charlevoix, MI
  • NPI 1962528844
  NPD (past)
• Townline Family PC

  dba Kalkaska Family Vision Care

  • Optometrist
  • Kalkaska, MI
  • NPI 1679968044
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1891707584",
    "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": "1008 BRIDGE ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201602",
            "telephone_number": "231-547-7800",
            "fax_number": "231-547-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTER",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "OPC2298",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "KM003200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900AS10210",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891707584",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "0800300002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MI3200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Lee Miller, FNP-C
• Robin May Miller, MA, LPC, CAADC
• Mind Your Matter PLLC
• Mirrored Waters Counseling
• Sharron Mizak-Schwein, PT
• Caitlyn Monks
• Elizabeth Laura Montez, IBCLC
• Denise L. Montgomery, CRNA
• Melanie Moran, CRPS
• Munson Healthcare Charlevoix Hospital

• Optometrist in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.