Individual provider Active NPI

Tony Ted Valentino, OD

  • Optometrist
  • Columbus, GA
National Provider Identifier
1689794166
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1297 Issued in GA
Practice address
5624 Whitesville Rd
Suite C
Columbus, GA 31904-3412
Phone
(706) 324-3029
Fax
(706) 324-1262
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1297 GA Primary

Addresses

Primary practice location

5624 Whitesville Rd
Suite C
Columbus, GA 31904-3412

Mailing address

5624 Whitesville Rd
Suite C
Columbus, GA 31904-3412
Phone (706) 324-3029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040402000857 GA Practitioner - Optometry 9234121641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5624 Whitesville Rd
Columbus, GA 31904-3412
Phone (706) 324-3029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1297GAMDMental Health Counselor

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1689794166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 WHITESVILLE RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043412",
            "telephone_number": "706-324-3029",
            "fax_number": "706-324-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 WHITESVILLE RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043412",
            "telephone_number": "706-324-3029",
            "fax_number": "706-324-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINO",
        "first_name": "TONY",
        "middle_name": "TED",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.