Individual provider Active NPI

Valerie Jean Crandall, M.D.

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1962409896
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME34980 Issued in FL
Practice address
4101 Evans Ave
Fort Myers, FL 33901-9310
Phone
(941) 792-2020
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME34980 FL Primary

Addresses

Primary practice location

4101 Evans Ave
Fort Myers, FL 33901-9310

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

112 Del Prado Blvd N
Cape Coral, FL 33909-2702
Phone (941) 792-2020

Other identifiers 1

IdentifierTypeStateIssuer
067150900MedicaidFL

Other names 1

  • Valerie Crandall Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000493 FL Practitioner - Ophthalmology 0446347488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Eye Associates of Manatee LLP CurrentSince Mar 1, 2023 Accepting new patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Mar 1, 2023 Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

112 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 458-5800

820 W Sugarland Hwy
Clewiston, FL 33440
Phone (863) 983-9105

4101 Evans Ave
Fort Myers, FL 33901
Phone (239) 335-1765

17966 N Tamiami Trl
Ste 160
North Fort Myers, FL 33903
Phone (239) 543-3336

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: valerie.crandall.d1.p1@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: valerie.crandall.p3@direct.theeyeassociates.nextgenshare.com

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Manatee, LLP 60 clinicians

Practice addresses (Care Compare)

112 Del Prado Blvd N
Cape Coral, FL 33909-2702
Phone (239) 466-2020

2203 61St St W
Bradenton, FL 34209-5531
Phone (941) 792-2020

6002 Pointe W Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
81.43
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1962409896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EVANS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019310",
            "telephone_number": "941-792-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Del Prado Blvd N",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092702",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "VALERIE",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME34980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067150900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "MOORE",
            "middle_name": "CRANDALL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.