MEDICARE: JOHN MOLNAR OPTOMETRY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1871163048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN MOLNAR OPTOMETRY PLLC

Provider Business Mailing Address
First Line	:	5501 CAPITAL BLVD STE 104
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-1971
Country	:	US
Telephone Number	:	919-651-4794
Fax Number	:	919-790-6864

Provider Business Practice Location Address
First Line	:	5501 CAPITAL BLVD STE 104
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-1971
Country	:	US
Telephone Number	:	919-651-4794
Fax Number	:	919-790-6864

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN MOLNAR
Credential	:	OD
Telephone Number	:	919-651-4794

Provider Enumeration Date	:	06/29/2021
Last Update Date	:	07/07/2021

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