Valentine Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2134 Issued in FL

Legal business name

VALENTINE EYE CARE PLLC

Practice address

16970 San Carlos Blvd Ste 105
Fort Myers, FL 33908-1225

Phone

(239) 466-2010

Fax

(239) 466-2015

NPI assigned

Aug 18, 2017

Organization subpart

No

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

Authorized official

Name

Daniel Valentine

Title

Owner

Phone

(239) 822-2186

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1508382771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16970 SAN CARLOS BLVD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16970 SAN CARLOS BLVD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081225",
            "telephone_number": "239-466-2010",
            "fax_number": "239-466-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINE EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-822-2186"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE JURISDICTION B DME MAC  (DMERC)",
            "identifier": "5285190001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OPC2134",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evert Valdivia
• Gino R Valdivia, PSYD
• Katherine Valdivia
• Yennis Valdivia
• Stephen Phillip Vale, PA-C
• Daniel C Valentine, OD
• Jorge Valenzuela Oliver, MD
• Anthony Valenzuela
• Valerie C Smart MD PA
• Valerie Crandall MD PA

• Optometrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.