Pinnacle Vision Care, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PINNACLE VISION CARE, INC

Practice address

919 Mall Ring Rd
Sebring, FL 33870-8515

Phone

(863) 658-0645

Fax

(863) 658-0646

NPI assigned

Sep 20, 2021

Organization subpart

No

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

Authorized official

Name

Valerie L Moulds, ODNPI 1366446627

Title

President

Phone

(863) 658-0645

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valerie Moulds, O.D.

  • Optometrist
  • Sebring, FL
  • NPI 1366446627
  Medicare reassignment Care Compare group NPD Authorized official
• Courtney Lynn Beaumont, OD

  • Optometrist
  • Sebring, FL
  • NPI 1396313722
  Medicare reassignment Care Compare group NPD
• Julia R King, O.D.

  • Optometrist
  • Winter Haven, FL
  • NPI 1669660346
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1619647724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "863-658-0645",
            "fax_number": "863-658-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "863-658-0645",
            "fax_number": "863-658-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE VISION CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "MOULDS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-658-0645",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason H Pieniazek, APRN
• Kaitlyn Elizabeth Piercey
• Cedrick Princeton Pierre
• Pine Street Alf Operations LLC
• Pine Street SNF Operations LLC
• Ernesto Pinzon, MD
• Laura Bernadine Pinzon, ARNP
• Amanda Pita Diaz
• PJC Coastal Hearing, LLC
• Placido M Roquiz Jr MD PA

• Optometrist in Sebring, FL
• Providers in Sebring, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.