Active NPI
Philip W Valentine, OD
- Optometrist
- Sidney, OH
National Provider Identifier
1487646816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2815T1994
- Practice address
- 739 Spruce Ave
Sidney, OH 45365-0179 - Phone
- (937) 492-1990
- Fax
- (937) 492-7230
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 2815T1994 | OH | Primary |
Addresses
Primary practice location
739 Spruce Ave
Sidney, OH 45365-0179
Mailing address
PO Box 179
Sidney, OH 45365-0179
Phone (937) 492-1990
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311195981 | Other | KY | HUMANA |
| 311195981026 | Other | OH | CARESOURCE |
| 0078679 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2815T1994 | OH | MD | Optometrist |
| 2815 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a. Fishbaugh Jr. O.D. Inc. | Optometrist | Past | Accepting new patients |
| Philip W Valentine OD Inc | Past | Accepting new patients | |
| Mercer in-Sight LLC | Optometrist | Past | Accepting new patients |
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.
-
- Eyewear Supplier
- Sidney, OH
- NPI 1891965851
-
- Optometrist
- Celina, OH
- NPI 1245528090
-
- Optometrist
- Saint Henry, OH
- NPI 1285814558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1487646816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 179",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453650179",
"telephone_number": "937-492-1990",
"fax_number": "937-492-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 SPRUCE AVE",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453650179",
"telephone_number": "937-492-1990",
"fax_number": "937-492-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "PHILIP",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "2815T1994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "311195981",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "311195981026",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078679",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.