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MOLLI A DUTRA M.D.
NPI 1710013263
Optometrist in Olympia, WA

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
3425 ENSIGN RD NE, OLYMPIA, WA 98506(360) 923-7680 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Molli A Dutra M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLI A DUTRA M.D. (NPI 1710013263) is an individual optometrist in Olympia, Washington, licensed in Washington (OD00003476) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bellevue, and is a graduate of Pacific University - College Of Optometry (1998).

NPPES Registry Identity

NPI1710013263
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMOLLI A DUTRACredential: M.D.
Location Address3425 ENSIGN RD NEOlympia, WA 98506-5425
Mailing AddressPo Box 34584Seattle, WA 98124-1584 · (509) 241-7349 · Fax (509) 241-7628
Phone(360) 923-7680
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1998
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1710013263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · OD00003476
Definition
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.
3425 ENSIGN RD NE, Olympia, WA 98506
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Secondary Practice Location 1

Location 111511 NE 10th StBellevue, WA 98004-8578 · Phone (425) 502-3000

Other Identifiers 1

Medicaid2023026WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Molli A Dutra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183678907
PECOS Enrollment IDI20050304000177
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES R WEBER DMD
Oral & Maxillofacial Surgery
3425 ENSIGN RD NE, SUITE 310
OLYMPIA, WA 98506
Thurston County (360) 456-5678
RODGER A LAWTON, DMD, PS
Dentist (Prosthodontics)
3425 ENSIGN RD NE, STE 210
OLYMPIA, WA 98506
Thurston County (360) 459-4400
SOUTH SOUND INTERNAL MEDICINE PLLC
Contractor
3425 ENSIGN RD NE, SUITE 220
OLYMPIA, WA 98506
Thurston County (360) 491-1112
LUCIE KHADDURI BSPT
Physical Therapist
3425 ENSIGN RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-4015
WILLIAM F. REUS III M.D.
Specialist
3425 ENSIGN RD NE, SUITE 340
OLYMPIA, WA 98506
Thurston County (360) 456-5204
DR. LESLIE L GRACEY DDS
Dentist (Prosthodontics)
3425 ENSIGN RD NE, STE 210
OLYMPIA, WA 98506
Thurston County (360) 459-4400
JOSEPH C MULREAN DMD
Oral & Maxillofacial Surgery
3425 ENSIGN RD NE, SUITE 310
OLYMPIA, WA 98506
Thurston County (360) 456-5678
SOUTH SOUND ORAL SURGERY PLLC
Dentist (Oral and Maxillofacial Surgery)
3425 ENSIGN RD NE, SUITE 310
OLYMPIA, WA 98506
Thurston County (360) 456-5678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molli Dutra's NPI number?

The NPI number for Molli Dutra is 1710013263. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Molli Dutra located?

Molli Dutra practices at 3425 Ensign Rd NE, Olympia, WA 98506. The listed phone number is (360) 923-7680.

What is Molli Dutra's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Molli Dutra enrolled in Medicare?

Yes. Molli Dutra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Molli Dutra was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.