Individual provider Active NPI

Ashley Valencic, O.D.

  • Optometrist
  • West Des Moines, IA
National Provider Identifier
1568725232
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
117369 Issued in IA
Practice address
5970 Ashworth Rd
West Des Moines, IA 50266-7143
Phone
(515) 440-4610
Fax
(515) 440-4611
NPI assigned
Jun 19, 2012
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1705 SC
Optometrist 152W00000X 117369 IA Primary

Addresses

Primary practice location

5970 Ashworth Rd
West Des Moines, IA 50266-7143

Mailing address

5970 Ashworth Rd
West Des Moines, IA 50266-7143
Phone (515) 440-4610

Other practice location 1

13955 E Mississippi Ave
Aurora, CO 80012
Phone (303) 695-4999

Other practice location 2

13955 E Mississippi Ave
Aurora, CO 80012
Phone (303) 695-4999

Other identifiers 1

IdentifierTypeStateIssuer
OPT0003304OtherCOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230202001444 IA Practitioner - Optometry 6002071529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashworth Vision Clinic PCGroup PAC ID 1254438302, 3 clinicians

Practice addresses (Care Compare)

5970 Ashworth Rd
West Des Moines, IA 50266-7110
Phone (515) 440-4610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Vision Optometrist CurrentSince Jun 3, 2012 Accepting new patients
Ashworth Vision Clinic PC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Vision Park Family Eye Care Optometrist PastSince Jan 6, 2023 Accepting new patients

Locations

5970 Ashworth Rd
West Des Moines, IA 50266
Phone (515) 440-4610

8451 Charlotte Hwy
Indian Land, SC 29707
Phone (803) 548-8100

Interoperability endpoints

  • Direct secure messaging: avalencic1@direct.revolutionehr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1568725232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 ASHWORTH RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667143",
            "telephone_number": "515-440-4610",
            "fax_number": "515-440-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 ASHWORTH RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667143",
            "telephone_number": "515-440-4610",
            "fax_number": "515-440-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13955 E Mississippi Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80012",
            "country_code": "US",
            "telephone_number": "303-695-4999",
            "fax_number": "303-695-0896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13955 E Mississippi Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80012",
            "country_code": "US",
            "telephone_number": "303-695-4999",
            "fax_number": "303-695-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIC",
        "first_name": "ASHLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1705",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "117369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OPT0003304",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.