Individual provider Active NPI

Valerie Lyn Jones, O.D.

  • Optometrist
  • Rockville, IN
National Provider Identifier
1619106952
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003583A Issued in IN
Practice address
725 N. Lincoln Rd
Rockville, IN 47872
Phone
(765) 569-2008
Fax
(765) 569-2009
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

725 N Lincoln Rd
Rockville, IN 47872-1117
Phone (765) 569-2008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090827000487 IN Practitioner - Optometry 3971658931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003583AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parke Vision Care LLC Optometrist CurrentSince May 16, 2012 Accepting new patients

Locations

725 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-2008

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003583A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

725 N. Lincoln Rd
Rockville, IN 47872

Mailing address

PO Box 278
Rockville, IN 47872-0278
Phone (765) 569-2008

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
AO2024OtherINEYEMED
200954600MedicaidIN
65313OtherINDAVIS VISION
P00808449OtherINRAILROAD MEDICARE
000000626213OtherINANTHEM PIN

Other names 1

NPPES NPI Registry
  • Valerie Lyn Harmon Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2020.

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1619106952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "478720278",
            "telephone_number": "765-569-2008",
            "fax_number": "765-569-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N. LINCOLN RD",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "47872",
            "telephone_number": "765-569-2008",
            "fax_number": "765-569-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "VALERIE",
        "middle_name": "LYN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003583A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "AO2024",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200954600",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "65313",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00808449",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000626213",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "HARMON",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, IN

Sources for this page

Verify at the official NPI Registry.