Leslie Helen Valentine, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

639 Issued in MS

Practice address

852 Winter Street
Lucedale, MS 39452

Phone

(601) 947-3553

Fax

(601) 947-3933

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Care Center

  • Optometrist
  • Lucedale, MS
  • NPI 1174749345
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1871653873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 WINTER STREET",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "39452",
            "telephone_number": "601-947-3553",
            "fax_number": "601-947-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 WINTER STREET",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "39452",
            "telephone_number": "601-947-3553",
            "fax_number": "601-947-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "LESLIE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "639",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "5903TA472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880174",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Leann Tillman, FNP
• Kristen Ana Trainer, OD
• Jessica Hope Turner, PMHNP
• Stacy A Upshaw, M.D.
• Courtney Louise Valentine, M.D.
• Tammy C Wade, OT
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Jennifer K. Walker, RMT #190
• Tera Lynn Dozier Walters, M.S., CCC-SLP

• Optometrist in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.
• 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.