KANDI SUE MOLLER (NPI# 1912096967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912096967 |
| Entity Type | Individual |
| Full Name | KANDI SUE MOLLER |
| Credential | OD |
| Practice Address |
4735 Point Fosdick Dr Ste 300 Gig Harbor WA 98335-2314 |
| Mailing Address |
14014 82nd Ave Nw Gig Harbor WA 98329-8855 |
| Practice Telephone | 2534324303 |
| Mailing Telephone | 5419791106 |
| Mailing Fax Number | 2535146719 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD60958770 | WA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2733ATI | OR | Eye and Vision Services Providers |
| N | 193400000X | Single Specialty | 2733ATI | OR | Group |
| Street Address |
4735 POINT FOSDICK DR STE 300 |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98335-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607191 | Nw Iom LLC | Specialist/Technologist, Other | 8014 Warren Dr Nw, Gig Harbor, WA 98335 | 2019-03-11 |
| 1760949432 | Mary Patricia Lancefield | Social Worker | Chi Franciscan Health Syste, Ms 53-50, 11567 Canterwood Blvd Nw, Gig Harbor, WA 98335 | 2019-02-28 |
| 1225512312 | Patricia Milligan | Counselor | 3214 50th St Ct Nw Suite 205-c, Gig Harbor, WA 98335 | 2018-09-24 |
| 1164918579 | Communication Therapies LLC | Clinic/Center | 3206 50th St Ct Nw Ste A105, Ste A105, Gig Harbor, WA 98335 | 2018-07-09 |
| 1821503764 | Ashley Ruiz | Social Worker | 7282 Stinson Ave Ste B, Gig Harbor, WA 98335 | 2017-12-13 |
| 1356855076 | Cristie Leigh Campbell | Massage Therapist | 7700 Pioneer Way, Suite 101, Gig Harbor, WA 98335 | 2017-11-17 |
| 1053837856 | Gig Harbor Medical Supplies | Durable Medical Equipment & Medical Supplies | 4810 Pt, Fosdick Dr. Nw, Gig Harbor, WA 98335 | 2017-08-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1972051076 | Bryce Brown | Chiropractor | 6625 Wagner Way Nw Ste 260d, Gig Harbor, WA 98335 | 2016-09-17 |
| 1144616848 | A Positive Change | Community/Behavioral Health | 5262 Olympic Drive Suite C, Gig Harbor, WA 98335 | 2015-04-09 |
| Find all providers in zip 98335 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033589601 | Betty Ann Hagaman I | Optometrist | 4810 Point Fosdick Dr Nw, Gig Harbor, WA 98335-1711 | 2015-09-25 |
| 1326441791 | Lock, O.d. Pllc | Optometrist | 4735 Point Fosdick Dr Nw, Suite 300, Gig Harbor, WA 98335-2314 | 2014-09-30 |
| 1710241831 | David Shin | Optometrist | 4949 Borgen Blvd Nw Ste 107, Gig Harbor, WA 98332-7895 | 2012-07-03 |
| 1477820660 | Anthony Ryan Lopez | Optometrist | 3815 56th Street Ct Nw, Gig Harbor, WA 98335-7120 | 2011-11-16 |
| 1538365044 | Jessica Schuhmann | Optometrist | 2727 106th Street Ct Nw, Gig Harbor, WA 98332-9317 | 2007-06-22 |
| 1497801633 | Charles Robert Dale | Optometrist | 3002 Harborview Dr, Gig Harbor, WA 98335-1962 | 2007-01-27 |
| 1003976358 | Kenneth L White | Optometrist | 2316 83rd St Nw, Gig Harbor, WA 98332-7545 | 2006-12-09 |
| 1417036013 | Harbor Eye Physicians & Surgeons, PC | Optometrist | 7901 Skansie Ave, Suite 105, Gig Harbor, WA 98335-8349 | 2006-11-03 |
| 1932287869 | Gig Harbor Vision Center Ps | Optometrist | 3220 Uddenberg Ln Ste 5, Gig Harbor, WA 98335-5128 | 2006-11-01 |
| 1275625105 | Jeffrey A Harris | Optometrist | 6508 Wollochet Dr Nw, Suite 101, Gig Harbor, WA 98335-8319 | 2006-09-28 |
| Find all providers in GIG HARBOR | ||||
| City | GIG HARBOR |
| Zip Code | 98335 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.