Valley Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VALLEY EYE ASSOCIATES

Practice address

21 Park PL
Appleton, WI 54914-8872

Phone

(920) 739-4361

Fax

(920) 739-6368

NPI assigned

Jul 29, 2006

Last updated

Jul 9, 2021By 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

Jean Marie Jacobs

Title

Business Manager

Phone

(920) 749-4058

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 32

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.

• Madeline C Almond, MD

  • Ophthalmology Physician
  • Green Bay, WI
  • NPI 1720098288
  Medicare reassignment Care Compare group NPD
• Garry G Brown, O.D.

  • Optometrist
  • Oshkosh, WI
  • NPI 1063574812
  Medicare reassignment Care Compare group NPD
• Dean Allen Delwiche, O.D.

  • Optometrist
  • Appleton, WI
  • NPI 1669417135
  Medicare reassignment Care Compare group NPD
• Dylan J Foss, OD

  • Optometrist
  • Oshkosh, WI
  • NPI 1225023542
  Medicare reassignment Care Compare group NPD
• Mindy Lynn Harrington, OD

  • Optometrist
  • Appleton, WI
  • NPI 1689231649
  Medicare reassignment Care Compare group NPD
• Ross Anthony Jensen, O.D.

  • Optometrist
  • Appleton, WI
  • NPI 1568758183
  Medicare reassignment Care Compare group NPD
• Jaclyn Ann Keller, O.D.

  • Optometrist
  • Oconto, WI
  • NPI 1154617652
  Medicare reassignment Care Compare group NPD
• Natalie Rae Kurth, O.D.

  • Optometrist
  • Appleton, WI
  • NPI 1427625375
  Medicare reassignment Care Compare group NPD
• Kimberly Landwehr, O.D.

  • Optometrist
  • Appleton, WI
  • NPI 1033129515
  Medicare reassignment Care Compare group NPD
• Zachary Makal, OD

  • Optometrist
  • Madison, WI
  • NPI 1952015968
  Medicare reassignment Care Compare group NPD
• Elizabeth Christine Melchert, O.D.

  • Optometrist
  • Appleton, WI
  • NPI 1992739171
  Medicare reassignment Care Compare group NPD
• Melissa Lea Metzger-Romatz, O.D.

  • Optometrist
  • Appleton, WI
  • NPI 1952330714
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1699789032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PARK PL",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148872",
            "telephone_number": "920-739-4361",
            "fax_number": "920-739-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PARK PL",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148872",
            "telephone_number": "920-739-4361",
            "fax_number": "920-739-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "920-749-4058"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32681900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yazhini Vallatharasu, MD
• Abby Vallejo, RD
• Valley Care LLC
• Valley Dermatology Clinic,S.C.
• Valley Endodontics LTD
• Valley Orthopedic Clinic SC
• Valley Packaging Industries, Inc.
• Valley Periodontics, S.C.
• Valley Side Mobility LLC
• Valley Sleep and Airway

• Optometrist in Appleton, WI
• Providers in Appleton, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.