Individual provider Active NPI

Molly M Eddleblute, OD

  • Optometrist
  • Hilliard, OH
National Provider Identifier
1912005398
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5632 Issued in OH
Practice address
4555 Cemetery Rd
Hilliard, OH 43026-1102
Phone
(614) 876-4044
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5632 OH Primary

Addresses

Primary practice location

4555 Cemetery Rd
Hilliard, OH 43026-1102

Mailing address

4555 Cemetery Rd
Hilliard, OH 43026-1102
Phone (614) 876-4044

Other identifiers 1

IdentifierTypeStateIssuer
2682146MedicaidOH

Other names 1

  • Dr. Molly M Lescher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061010000234 OH Practitioner - Optometry 4385640663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ackerson Eyecare Center, IncGroup PAC ID 8820086366, 4 clinicians

Practice addresses (Care Compare)

4555 Cemetery Rd
Hilliard, OH 43026-1102
Phone (614) 876-4044

Merit-based Incentive Payment System (MIPS)

Final score
82.24 of 100Reported as group
Quality
64.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5632OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ackerson Eyecare Center, Inc Optometrist CurrentSince Jan 1, 2013 Accepting new patients
Industrial Fitness Past Accepting new patients

Locations

4555 Cemetery Rd
Hilliard, OH 43026
Phone (614) 219-7479

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1912005398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-876-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-876-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDLEBLUTE",
        "first_name": "MOLLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2682146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "LESCHER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.