Active NPI
Daniel C Valentine, OD
- Optometrist
- Fort Myers, FL
National Provider Identifier
1215022181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0PC2134
- Practice address
- 16970 San Carlos Blvd
Suite 9
Fort Myers, FL 33908-1225 - Phone
- (239) 466-2010
- Fax
- (239) 466-2015
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0PC2134 | FL | Primary |
Addresses
Primary practice location
16970 San Carlos Blvd
Suite 9
Fort Myers, FL 33908-1225
Mailing address
1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dvalentine@useye.intellechartdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0PC2134 | FL | MD | Optometrist |
Interoperability endpoints
- dvalentine@useye.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1215022181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342859066",
"telephone_number": "941-488-2020",
"fax_number": "941-484-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16970 SAN CARLOS BLVD",
"address_2": "SUITE 9",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339081225",
"telephone_number": "239-466-2010",
"fax_number": "239-466-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "DANIEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "0PC2134",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dvalentine@useye.intellechartdirect.net",
"affiliation": "N",
"address_1": "16970 San Carlos Blvd",
"address_2": "Suite 9",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339081225",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.