Individual provider Active NPI

Valarie Simpson Jerome, O.D.

  • Optometrist
  • Richmond, VA
National Provider Identifier
1265437164
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002565 Issued in GA
Practice address
1111 E Main St
Ste 120
Richmond, VA 23219-3500
Phone
(804) 648-0900
Fax
(804) 648-4367
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002565 GA Primary

Addresses

Primary practice location

1111 E Main St
Ste 120
Richmond, VA 23219-3500

Mailing address

2215 Memorial Dr
#25
Waycross, GA 31501-0983
Phone (912) 285-2021

Other identifiers 1

IdentifierTypeStateIssuer
010104017MedicaidVA

Other names 1

  • Dr. Valarie Lynn Simpson Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Lighthouse for the Blind Inc. Optometrist Past Accepting new patients
Eye Care of Waycross PC Past Accepting new patients
Tampa Lighthouse for the Blind Optometrist Past Accepting new patients
Dr. Valarie L. Simpson, P.C. Optometrist PastSince Jul 22, 2004 Accepting new patients

Organizations & group practices 4

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1265437164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 MEMORIAL DR",
            "address_2": "#25",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315010983",
            "telephone_number": "912-285-2021",
            "fax_number": "912-285-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MAIN ST",
            "address_2": "STE 120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193500",
            "telephone_number": "804-648-0900",
            "fax_number": "804-648-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "VALARIE",
        "middle_name": "SIMPSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010104017",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALARIE",
            "last_name": "SIMPSON",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.