Individual provider Active NPI

Valerie Anuli Okakpu, OD

  • Optometrist
  • Antioch, CA
National Provider Identifier
1225701733
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35413-TLG Issued in CA
Practice address
5009 Lone Tree Way Ste a
Antioch, CA 94531-8690
Phone
(925) 757-0450
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003822 PA
Optometrist 152W00000X 3013-IOD WV
Optometrist 152W00000X OPT35413-TLG CA Primary

Addresses

Primary practice location

5009 Lone Tree Way Ste a
Antioch, CA 94531-8690

Mailing address

2020 Date St
Concord, CA 94519-2516
Phone (408) 393-8119

Other practice location 1

2255 Ygnacio Valley Rd Ste C
Walnut Creek, CA 94598-3349
Phone (925) 933-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230815002262 CA Practitioner - Optometry 5395142913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35413CAMDClinical Social Worker
OPT35413-TLGCAMDOptometrist
3013-IODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W Ottati, Jr., O.D. Inc Optometrist CurrentSince Aug 2, 2023 Accepting new patients

Locations

5009 Lone Tree Way
#A
Antioch, CA 94531
Phone (925) 757-0450

Organizations & group practices 1

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1225701733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 DATE ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192516",
            "telephone_number": "408-393-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 LONE TREE WAY STE A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318690",
            "telephone_number": "925-757-0450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 Ygnacio Valley Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983349",
            "country_code": "US",
            "telephone_number": "925-933-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAKPU",
        "first_name": "VALERIE",
        "middle_name": "ANULI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003822",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "3013-IOD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35413-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.