KANDI SUE MOLLER OD NPI 1912096967

NPI Information

  • NPI: 1912096967
  • Provider Name: KANDI SUE MOLLER, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4735 POINT FOSDICK DR STE 300
    GIG HARBOR, WA
    ZIP 98335
  • Phone: (253) 432-4303

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NPI Details

Kandi Sue Moller, OD is an optometrist in Gig Harbor, WA with 27 years of experience. The provider is 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. Kandi Sue Moller, OD NPI is 1912096967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year:1999

The provider's business location address is:

4735 POINT FOSDICK DR STE 300
GIG HARBOR, WA
ZIP 98335-314
Phone: (253) 432-4303

The NPI 1912096967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient complete exam of visual system (HCPCS:92004)

The enumeration date for this NPI number is 10/11/2006 and was last updated on 7/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist2733ATIOREGONNo
2152W00000XOptometristOD60958770WASHINGTONYes
3193400000XSingle Specialty2733ATIOREGONNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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