Active NPI
Valerie Jean Crandall, M.D.
- Ophthalmology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME34980
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067150900 | Medicaid | FL |
Other names 1
- Valerie Crandall Moore
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Manatee LLP | Current | Accepting new patients | |
| Eye Associates of Manatee, LLP | Ophthalmology | Current | 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
- valerie.crandall.d1.p1@direct.theeyeassociates.nextgenshare.com
- 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.
-
- Ophthalmology Physician
- Bradenton, FL
- NPI 1366483851
FL, Ophthalmology
-
- Eyewear Supplier
- Naples, FL
- NPI 1154052918
-
- Ambulatory Surgical Clinic/Center
- Bradenton, FL
- NPI 1568460889
-
- Eyewear Supplier
- Fort Myers, FL
- NPI 1659091759
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
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 100
- Quality
- 81.43
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.