Dr. Rafael O. Mollega , Jr. of Northwest Florida, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. RAFAEL O. MOLLEGA , JR. OF NORTHWEST FLORIDA, INC

Practice address

12671 US Hwy 98 W
Ste 216
Destin, FL 32550

Phone

(850) 269-3937

Fax

(850) 269-1988

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Christina M Nelson

Title

Bookkeeper/Insurance Personnel

Phone

(850) 269-3937

Specialties & licenses 1

Addresses

Other names 1

• Mollega Eye Care & Optique Doing business as

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1972625721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12671 US HWY 98 W",
            "address_2": "STE 216",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32550",
            "telephone_number": "850-269-3937",
            "fax_number": "850-269-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12671 US HWY 98 W",
            "address_2": "STE 216",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32550",
            "telephone_number": "850-269-3937",
            "fax_number": "850-269-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RAFAEL O. MOLLEGA , JR. OF NORTHWEST FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOOKKEEPER/INSURANCE PERSONNEL",
        "authorized_official_telephone_number": "850-269-3937",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mollega Eye Care & Optique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Paul Dotta, PHARM.D.
• Hannah Lianne Douglas, COTA
• Timothy Deegan Douglass, D.C.
• Jada Downer
• Dr. Michael E. Raim OD P.a. Inc
• Dr. Rhonda Hendrix, PA
• Andre Drevinskas
• Julia Andreyevna Drevinskas, NP
• Sandra A Dulian, CRNA
• Staci Nicole Duncan, APRN

• Optometrist in Destin, FL
• Providers in Destin, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.