Organization
KANDI S. MOLLER, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDI SUE MOLLER OD (SOLE MEMBER)
(541) 926-2521
Entity
Organization
Contact information
Practice address
3031 KILLDEER AVE SE, ALBANY, OR 97322-5325
(541) 926-2521
(541) 918-7065
Mailing address
1037 8TH AVE SW, ALBANY, OR 97321-2053
(541) 926-2521
(541) 918-7065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2733 ATI
OR
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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