Active NPI
Valerie Moulds, O.D.
- Optometrist
- Sebring, FL
National Provider Identifier
1366446627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OB 3073
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620812600 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
919 Mall Ring Rd
Sebring, FL 33870-8515
Phone (863) 658-0645
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OB 3073 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhiannon L. Maggiore, O.D, P.a. | Optometrist | Current | Accepting new patients |
| Pinnacle Vision Care, Inc | Optometrist | Current | 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.
-
- Optometrist
- Sebring, FL
- NPI 1619647724
-
- Optometrist
- Port Charlotte, FL
- NPI 1013262237
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1154316628
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.