Provider Demographics
NPI:1316975410
Name:SHEETY-PILON, VALERIE NAJAT (OD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:NAJAT
Last Name:SHEETY-PILON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:VALERIE
Other - Middle Name:NAJAT
Other - Last Name:PILON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1200 N TUSTIN AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3508
Mailing Address - Country:US
Mailing Address - Phone:714-647-1200
Mailing Address - Fax:714-647-0200
Practice Address - Street 1:1200 N TUSTIN AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3508
Practice Address - Country:US
Practice Address - Phone:714-647-1200
Practice Address - Fax:714-647-0200
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT12645 TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV02276Medicare UPIN