Individual provider Active NPI

Eric Justin Valiquette, O.D.

  • Optometrist
  • Battle Creek, MI
National Provider Identifier
1790892925
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003904 Issued in MI
Practice address
6020 B Dr N
Battle Creek, MI 49014-8367
Phone
(269) 979-8710
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003904 MI Primary

Addresses

Primary practice location

6020 B Dr N
Battle Creek, MI 49014-8367

Mailing address

11085 W Kinsel Hwy
Nashville, MI 49073-9341
Phone (517) 852-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 9, 2021 through Oct 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4901003904MIMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1790892925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11085 W KINSEL HWY",
            "city": "NASHVILLE",
            "state": "MI",
            "postal_code": "490739341",
            "telephone_number": "517-852-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 B DR N",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148367",
            "telephone_number": "269-979-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIQUETTE",
        "first_name": "ERIC",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.