Provider Demographics
NPI:1528628625
Name:ADMIRE, MOLLY JEAN (OD)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:JEAN
Last Name:ADMIRE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:673 BEDFORD ST
Mailing Address - Street 2:STE 3
Mailing Address - City:ABINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02351-1921
Mailing Address - Country:US
Mailing Address - Phone:781-878-2300
Mailing Address - Fax:781-878-2382
Practice Address - Street 1:31 SAINT JAMES AVE STE 135
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-4101
Practice Address - Country:US
Practice Address - Phone:617-936-4027
Practice Address - Fax:617-936-4059
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2019-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA5371152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist