Active NPI
Tracie Ellen Vallone, O.D.
- Optometrist
- Cape Coral, FL
National Provider Identifier
1871728006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3193
- Practice address
- 1619 Del Prado Blvd S
Vision Center
Cape Coral, FL 33990-3713 - Phone
- (239) 772-2663
- Fax
- (239) 772-1859
- NPI assigned
- May 18, 2009
- Sex
- Female
- 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 | OPC 3193 | FL | Primary |
Addresses
Primary practice location
1619 Del Prado Blvd S
Vision Center
Cape Coral, FL 33990-3713
Mailing address
1619 Del Prado Blvd S
Vision Center
Cape Coral, FL 33990-3713
Phone (239) 772-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3193 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1871728006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 DEL PRADO BLVD S",
"address_2": "VISION CENTER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903713",
"telephone_number": "239-772-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 DEL PRADO BLVD S",
"address_2": "VISION CENTER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903713",
"telephone_number": "239-772-2663",
"fax_number": "239-772-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLONE",
"first_name": "TRACIE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.