Jonathan N. Valamides, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7079TG Issued in TX

Legal business name

JONATHAN N. VALAMIDES, O.D., P.A.

Practice address

7604 Denton Hwy Ste 208
Watauga, TX 76148-2477

Phone

(817) 503-7997

NPI assigned

Apr 19, 2018

Last updated

Apr 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Nicholas Valamides, ODNPI 1790984789

Title

President

Phone

(817) 874-7201

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Nicholas Valamides, O.D.

  • Optometrist
  • Lake Worth, TX
  • NPI 1790984789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1689161176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 ANDALUSIA TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760173131",
            "telephone_number": "817-874-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 DENTON HWY STE 208",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482477",
            "telephone_number": "817-503-7997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 Andalusia Trl",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760173131",
            "country_code": "US",
            "telephone_number": "817-874-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN N. VALAMIDES, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "VALAMIDES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-874-7201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7079TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ID TYPE 1",
            "identifier": "1790984789",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Watauga, TX
• Providers in Watauga, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.