Individual provider Active NPI

Valerie L Moates, O.D.

  • Optometrist
  • Americus, GA
National Provider Identifier
1235125485
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001169 Issued in GA
Practice address
1119 E Lamar St
Americus, GA 31709-3762
Phone
(229) 924-4022
Fax
(229) 924-7133
NPI assigned
Sep 23, 2005
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 001169 GA Primary

Addresses

Primary practice location

1119 E Lamar St
Americus, GA 31709-3762

Mailing address

1119 E Lamar St
P. O. Box 788
Americus, GA 31709-3762
Phone (229) 924-4022

Other identifiers 2

IdentifierTypeStateIssuer
000390772DMedicaidGA
00390772AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100422000753 GA Practitioner - Optometry 3870685720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Eye Center, LLPGroup PAC ID 1557350121, 5 clinicians

Practice addresses (Care Compare)

210 E Lamar St
Americus, GA 31709-3657
Phone (229) 924-4022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001169GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Eye Center, LLP Optometrist CurrentSince Jul 1, 1966 Accepting new patients
Williams, Moates & Moates Optometrist Past Accepting new patients

Locations

1119 E Lamar St
Americus, GA 31709
Phone (229) 924-4022

210 E Lamar St
Americus, GA 31709
Phone (229) 924-4022

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1235125485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E LAMAR ST",
            "address_2": "P. O. BOX 788",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093762",
            "telephone_number": "229-924-4022",
            "fax_number": "229-924-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093762",
            "telephone_number": "229-924-4022",
            "fax_number": "229-924-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOATES",
        "first_name": "VALERIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000390772D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00390772A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.