KRISTEN VALLES (OD) – Optometrist, NPI 1164316469

KRISTEN VALLES (OD) is a healthcare provider. based in West melbourne, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6686 (FL). The NPI Number for KRISTEN VALLES (OD) is 1164316469

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN VALLES (OD)
NPI
1164316469
Phone
(631) 561-9144
Address
138 DISCOVERY DR UNIT 3213
Enumeration Date
3 June 2025
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217272020
Graduation Year
2024 (2 years ago)
PAC ID
6901316611
Group Practice PAC ID
1658348396
Professional Enrollment ID
I20250611002598
Address ID
FL329015427ME502XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for KRISTEN VALLES (OD)

  • 138 DISCOVERY DR UNIT 3213

    WEST MELBOURNE, FL 329048246

    Phone: (631) 561-9144

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250611002598IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658348396View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
Ophthalmology, Plastic And Reconstructive SurgeryFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Is KRISTEN VALLES (OD) listed with a National Provider Identifier?
Yes — KRISTEN VALLES (OD) has NPI 1164316469 on file in the registry.
Is KRISTEN VALLES (OD) still an active registrant?
KRISTEN VALLES (OD) carries an active NPI according to the public dataset.
What clinical focus is listed for KRISTEN VALLES (OD)?
At a glance, KRISTEN VALLES (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTEN VALLES (OD)?
Travel planning: use West Melbourne, Florida as the reference point for KRISTEN VALLES (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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