Molly Benck, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3455-35 Issued in WI

Practice address

105 Northridge Dr
New London, WI 54961-2703

Phone

(920) 982-3711

NPI assigned

Jun 7, 2017

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

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Griebenow Eyecare, S.C.Group PAC ID 0941259501, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.99 of 100Reported as group

Quality

76.13

Improvement activities

40

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Griebenow Eyecare, S.C.

  • Optometrist
  • New London, WI
  • NPI 1366599433
  Medicare reassignment Care Compare group NPD
• Griebenow Eyecare, S.C.

  • Optometrist
  • Clintonville, WI
  • NPI 1003045402
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1992234595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549610230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTHRIDGE DR",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612703",
            "telephone_number": "920-982-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCK",
        "first_name": "MOLLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3455-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Becher
• Jared Scott Bedor, D.C.
• Jack R Behm, C.R.N.A.
• Lisa Behnke, MA
• Alaina Janae Beimborn, APNP
• Cara Benner, APNP
• Heidi Elizabeth Besch
• Jennifer Betts
• Tori C Beyer, APNP
• Brooke Birling, PA

• Optometrist in New London, WI
• Providers in New London, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.