Individual provider Active NPI

Valerie Moulds, O.D.

  • Optometrist
  • Sebring, FL
National Provider Identifier
1366446627
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OB 3073 Issued in FL
Practice address
919 Mall Ring Rd
Sebring, FL 33870-8515
Phone
(863) 658-0645
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OB 3073 FL Primary

Addresses

Primary practice location

919 Mall Ring Rd
Sebring, FL 33870-8515

Mailing address

919 Mall Ring Rd
Sebring, FL 33870-8515
Phone (863) 658-0645

Other identifiers 1

IdentifierTypeStateIssuer
620812600MedicaidFL

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
I20090318000563 FL Practitioner - Optometry 4284791294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Vision Care, IncGroup PAC ID 0244629863, 3 clinicians

Practice addresses (Care Compare)

919 Mall Ring Rd
Sebring, FL 33870-8515
Phone (863) 658-0645

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OB 3073FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhiannon L. Maggiore, O.D, P.a. Optometrist CurrentSince Oct 26, 2020 Accepting new patients
Pinnacle Vision Care, Inc Optometrist CurrentSince Jul 25, 2021 Accepting new patients
St Lukes Cataract & Laser Institute Optometrist Past Accepting new patients

Locations

701 J C Center Ct
Unit 18
Pt Charlotte, FL 33954
Phone (941) 204-4260

919 Mall Ring Rd
Sebring, FL 33870
Phone (863) 382-2229

Organizations & group practices 3

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1366446627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "863-658-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "863-658-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULDS",
        "first_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OB 3073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620812600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.