Brant Tregellas Molenaar, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002644 Issued in IN

Practice address

3546 Ridge Road
Lansing, IL 60438

Phone

(708) 474-0078

Fax

(708) 474-0141

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deboer OD LTDGroup PAC ID 2860421922, 3 clinicians

Aeg Indiana Professional PCGroup PAC ID 2365826179, 30 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Aeg Indiana Professional PC

  • Optometrist
  • Warsaw, IN
  • NPI 1043944127
  Medicare reassignment Care Compare group NPD
• Deboer OD LTD

  dba DeBoer Family Eyecare

  • Optometrist
  • Demotte, IN
  • NPI 1972513653
  Medicare reassignment Care Compare group
• Molenaar Eyecare Specialists LTD

  • Optometrist
  • Lansing, IL
  • NPI 1558468660
  Medicare reassignment NPD
• Dr Tabitha G Temple PC

  • Optometrist
  • Warsaw, IN
  • NPI 1851484125
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1942307053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 RIDGE RD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383146",
            "telephone_number": "708-474-0078",
            "fax_number": "708-474-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 RIDGE ROAD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "60438",
            "telephone_number": "708-474-0078",
            "fax_number": "708-474-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 N Halleck St",
            "address_purpose": "LOCATION",
            "city": "Demotte",
            "state": "IN",
            "postal_code": "463109545",
            "country_code": "US",
            "telephone_number": "219-987-3673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLENAAR",
        "first_name": "BRANT",
        "middle_name": "TREGELLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T1494",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002644",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46008622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Meyer, MA
• Cynthia Lynette Michel
• Melinda Miller, BCBA
• Brittany Mitacek, ATC
• Molenaar Eyecare Specialists LTD
• Gordon Wesley Molenaar, OD
• Matthew Molenaar, LCSW
• Momentum Behavior Services LLC
• Shinora Montgomery
• Crystal Moore

• Optometrist in Lansing, IL
• Providers in Lansing, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.