KIMBERLY S MOLTER (OD) – Optometrist, NPI 1891707584
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
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Provider Addresses for KIMBERLY S MOLTER (OD)
Kalkaska Post Office, 3rd Street, Kalkaska Township, Kalkaska County, Michigan, 49646, United States
KALKASKA, MI 496462027
Phone: (231) 258-9781
Fax: (231) 258-0616
Type: Mailing
1008, Bridge Street, Charlevoix, Charlevoix County, Michigan, 49720, United States
CHARLEVOIX, MI 497201602
Phone: (231) 547-7800
Fax: (231) 547-7874
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $269.
Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.
Last reported payment date: 2024-02-13 • Largest payer in this snapshot: LKC Technologies, Inc. ($182).
Total Amount
$269
General + Research + Ownership
Payments
2
Total payment records
General Amount
$269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LKC Technologies, Inc. | $182 |
| BIOTISSUE HOLDINGS, INC. | $87 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120127000972 | I | Optometry | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49646)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | NH | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI |
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