Valerie Crandall MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME34980 Issued in FL

Legal business name

VALERIE CRANDALL MD PA

Practice address

3900 Broadway
Suite 14
Fort Myers, FL 33901-8193

Phone

(239) 939-5259

Fax

(239) 275-6178

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Valerie Crandall, M.D.

Title

President

Phone

(239) 939-5259

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1598899494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY",
            "address_2": "SUITE 14",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "239-939-5259",
            "fax_number": "239-275-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY",
            "address_2": "SUITE 14",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "239-939-5259",
            "fax_number": "239-275-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE CRANDALL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-939-5259",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME34980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentine Eye Care PLLC
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• Jorge Valenzuela Oliver, MD
• Anthony Valenzuela
• Valerie C Smart MD PA
• Valerie'S House, Inc.
• Valerie Valero, M.D.
• Irene B Vales
• Shirisha Rao Vallarapu, PAC
• Edison Patricio Valle-Giler, M.D.

• Ophthalmology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.