Individual provider Active NPI

Kristen Valles, OD

  • Optometrist
  • Melbourne, FL
National Provider Identifier
1164316469
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6686 Issued in FL
Practice address
502 E New Haven Ave
Melbourne, FL 32901-5427
Phone
(321) 727-2020
Fax
(321) 726-4074
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6686 FL Primary

Addresses

Primary practice location

502 E New Haven Ave
Melbourne, FL 32901-5427

Mailing address

502 E New Haven Ave
Melbourne, FL 32901-5427
Phone (321) 727-2020

Other practice location 1

161 Malabar Rd NE
Palm Bay, FL 32907-3092
Phone (321) 727-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250611002598 FL Practitioner - Optometry 6901316611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Eye Associates IncGroup PAC ID 1658348396, 15 clinicians

Practice addresses (Care Compare)

502 E New Haven Ave
Melbourne, FL 32901-5427
Phone (321) 727-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Eye Associates Inc Optometrist CurrentSince Jun 9, 2025 Accepting new patients
Florida Eye Associates Inc Optometrist CurrentSince Jun 9, 2025 Accepting new patients

Locations

502 E New Haven Ave
Melbourne, FL 32901
Phone (321) 727-2020

161 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 727-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1164316469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015427",
            "telephone_number": "321-727-2020",
            "fax_number": "321-726-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015427",
            "telephone_number": "321-727-2020",
            "fax_number": "321-726-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Malabar Rd NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329073092",
            "country_code": "US",
            "telephone_number": "321-727-2020",
            "fax_number": "321-726-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLES",
        "first_name": "KRISTEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.