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Active NPI 1710013263 Individual Practitioner Female Practitioner

Dr. Molli A Dutra , MD

Optometrist • Olympia, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Molli Dutra, MD is a certified Optometrist practicing in Olympia, WA. With approximately 28 years of clinical experience since graduating from Pacific University - College Of Optometry in 1998, Dr. Dutra delivers high-quality medical care to the local community at 3425 ENSIGN RD NE.

Dr. Dutra is affiliated with Kaiser Foundation Health Plan Of Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3425 Ensign Rd Ne

Olympia, WA 985065425

Telephone 3609237680
Associated Practice Facility / Clinic
🏢 South Sound Oral Surgery Pllc Facility NPI 1407944614

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Olympia, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +7.9 yrs vs City Avg
City Avg: 20.1 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
41 Specialists

Practicing in Olympia, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dutra (28 Years) 28 Yrs
Olympia Specialty Average (20.1 Years) 20.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
15 15 $230.00 $131.36

Medical Specialties & State Licenses

CMS Verified: 2021-03-30
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA OD00003476

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2023026 (WA)

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of Washington

11511 Ne 10th St, Bellevue, WA 980048578

Phone: 4255023000

Secondary Practice Locations

11511 Ne 10th St

Bellevue, WA 980048578

Phone: 4255023000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Charles Weber , DMD

Oral & Maxillofacial Surgery

NPI 1033214861

Doctor of Dental Medicine

Lucie Khadduri , BSPT

Physical Therapist

NPI 1144305350
NPI 1225190333

Doctor of Medicine (M.D.)

Dr. Leslie Gracey , DDS

Dentist - Prosthodontics

NPI 1316088602

Doctor of Dental Surgery

Dr. Joseph Mulrean , DMD

Oral & Maxillofacial Surgery

NPI 1336250133

Doctor of Dental Medicine

Dr. Austin Rubel , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1417241282

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2008

Registered at 3425 ENSIGN RD NE, OLYMPIA, WA 985065425 (Tel: 3609237680)

📍
Updated Business Mailing Address May 09, 2008

Registered at PO BOX 34584, SEATTLE, WA 981241584 (Tel: 5092417349)

👤
Provider Name / Credentials Updated May 09, 2008

Recorded as MOLLI DUTRA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2008

Optometrist (License #OD00003476 in WA)

🟢
Initial NPI Registration & Enumeration February 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710013263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2007
Last Update: March 30, 2021
Sole Proprietor: No

Mailing Address

Po Box 34584

Seattle, WA 981241584

Phone: 5092417349

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.