Individual provider Active NPI

Valerie Carmelina D'Souza, OD

  • Optometrist
  • Springfield, MO
National Provider Identifier
1043100605
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025023994 Issued in MO
Practice address
1350 E Woodhurst Dr
Springfield, MO 65804-4281
Phone
(417) 882-3937
Fax
(417) 887-8551
NPI assigned
Jul 7, 2025
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2025023994 MO Primary

Addresses

Primary practice location

1350 E Woodhurst Dr
Springfield, MO 65804-4281

Mailing address

PO Box 774
Springfield, MO 65801-0774
Phone (417) 882-3937

Other practice location 1

640 W Chestnut St
Springfield, MO 65806-1016
Phone (417) 869-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716000684 MO Practitioner - Optometry 0749795987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heffingtons House of Vision IncGroup PAC ID 3072802099, 3 clinicians

Practice addresses (Care Compare)

1350 E Woodhurst Dr
Springfield, MO 65804-4281
Phone (417) 882-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025023994MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heffington's House of Vision Inc Optometrist CurrentSince Jul 9, 2025 Accepting new patients
Heffington Optical Company Inc Optometrist CurrentSince Jul 9, 2025 Accepting new patients

Locations

1350 E Woodhurst Dr
Springfield, MO 65804
Phone (417) 882-3937

640 W Chestnut St
Springfield, MO 65806
Phone (417) 869-3937

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1043100605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658010774",
            "telephone_number": "417-882-3937",
            "fax_number": "417-887-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E WOODHURST DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044281",
            "telephone_number": "417-882-3937",
            "fax_number": "417-887-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 W Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061016",
            "country_code": "US",
            "telephone_number": "417-869-3937",
            "fax_number": "417-869-0281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "VALERIE",
        "middle_name": "CARMELINA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2025023994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.