Active NPI
Eric Justin Valiquette, O.D.
- Optometrist
- Battle Creek, MI
National Provider Identifier
1790892925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003904
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003904 | MI | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.