Mcdonald, Molly Rae
Mcdonald, Molly Rae is an individual health care provider with primary practice located at 20094 Kenwood Trl , Lakeville MN 55044-5404. She recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Mcdonald, Molly Rae can be contacted via phone (952) 469-3937.Contact Information
Primary practice address
20094 Kenwood Trl
Lakeville MN 55044-5404
Phone: (952) 469-3937
Fax: (952) 469-2132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3305 | Minnesota |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3305 | Minnesota |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 3305 | Minnesota |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 3305 | Minnesota |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 3305 | Minnesota |
Profile Details
| NPI number | 1659621357 |
|---|---|
| LBN Legal business name | Mcdonald, Molly Rae |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2012 |
| Last updated | Oct 28th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659621357 | NPPES |
| Other | P01484181 | RAILROAD MEDICARE | |
| Other | 00220006846 | RAILROAD MEDICARE | |
| Other | 961571081533 | RAILROAD MEDICARE | |
| Other | 0FD80MC | RAILROAD MEDICARE | |
| Other | 201502 | RAILROAD MEDICARE | |
| Other | HP153144 | RAILROAD MEDICARE | |
| Other | 0004690876 | RAILROAD MEDICARE | |
| Other | 22-0006846 | RAILROAD MEDICARE |
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