VALERIE JEAN CRANDALL (NPI# 1962409896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962409896 |
| Entity Type | Individual |
| Full Name | VALERIE JEAN CRANDALL |
| Other Name | VALERIE CRANDALL MOORE |
| Credential | M.D. |
| Practice Address |
3900 Broadway Suite 14 Fort Myers FL 33901-8193 |
| Practice Telephone | 2399395259 |
| Practice Fax Number | 2392756178 |
| Mailing Telephone | 2399395259 |
| Mailing Fax Number | 2392756178 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME34980 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3900 BROADWAY SUITE 14 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-8193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730638842 | Milestones Wellness Centers | Anesthesiology | 3900 Broadway, Ste 7, Fort Myers, FL 33901-8193 | 2016-09-30 |
| 1750656781 | Region Medical Center, Inc | Clinic/Center | 3900 Broadway, Bldg A Unit 1, Fort Myers, FL 33901-8193 | 2012-03-08 |
| 1710257001 | First Southwest Medical Rehab, LLC | Chiropractor | 3900 Broadway, Suite D10, Fort Myers, FL 33901-8193 | 2012-01-04 |
| 1811139678 | Jessica Robertson Carr | Counselor | 3900 Broadway, Suite B1, Fort Myers, FL 33901 | 2009-03-25 |
| 1649419920 | Christina Marie Reynolds | Counselor | 3900 Broadway, Suite B-1, Fort Myers, FL 33901-8193 | 2009-02-11 |
| 1588812945 | Ft. Myers Women's Health Center, Inc. | Obstetrics & Gynecology | 3900 Broadway, Bldg C, Fort Myers, FL 33901-8193 | 2008-08-28 |
| 1407003296 | Val Rae Gill | Counselor | 3900 Broadway, Suite B-1, Fort Myers, FL 33901-8193 | 2008-08-22 |
| 1649476300 | Fernando Ricardo Betancourt | Obstetrics & Gynecology | 3900 Broadway, Bldg C, Fort Myers, FL 33901-8193 | 2007-06-21 |
| 1881811834 | Susan Lee Puccio | Counselor | 3900 Broadway, Fort Myers, FL 33901-8193 | 2007-04-19 |
| 1598899494 | Valerie Crandall Md Pa | Ophthalmology | 3900 Broadway, Suite 14, Fort Myers, FL 33901-8193 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871020669 | Fort Myers Medical Universer | Ophthalmology | 4531 Deleon St, Fort Myers, FL 33907-1278 | 2017-05-11 |
| 1235557166 | Maximilian R. Padilla | Ophthalmology | 13470 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1850 | 2014-03-28 |
| 1821227331 | Jessica Jane Kovarik | Ophthalmology | 9800 S Healthpark Dr Ste 110, Fort Myers, FL 33908-3630 | 2009-07-06 |
| 1174659536 | Bradford S. Prokop | Ophthalmology | 11520 Compass Point Dr, Fort Myers, FL 33908-4926 | 2007-02-27 |
| 1770659856 | Southwest Florida Eye Care, L.l.c | Ophthalmology | 6850 International Cntr Blvd, Fort Myers, FL 33912-7129 | 2006-11-28 |
| 1396836037 | Florentino E Palmon | Ophthalmology | 6850 International Center Boulevard, Fort Myers, FL 33912-7129 | 2006-09-27 |
| 1437189701 | Vinod Bhavnani | Ophthalmology | 6810 Porto Fino Cir, Fort Myers, FL 33912-7140 | 2006-07-03 |
| 1356382725 | Ophthalmic Facial Plastic Surgery Specialists | Ophthalmology | 7331 College Parkway, Suite 200, Fort Myers, FL 33907 | 2006-06-09 |
| 1972550622 | Hussein Wafapoor | Ophthalmology | 1567 Hayley Ln, Suite 101, Fort Myers, FL 33907-2109 | 2006-05-28 |
| 1194777185 | Albert E Smolyar | Ophthalmology | 6850 International Center Blvd, Fort Myers, FL 33912 | 2006-05-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.