Robin Ellen Hamm-Lavalley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4257 Issued in OH

Practice address

4248 Gallia St
New Boston, OH 45662-5513

Phone

(740) 456-4024

Fax

(740) 456-6696

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Ohio Family Vision Center LLCGroup PAC ID 6002227303, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Southern Ohio Family Vision Center, LLC

  • Optometrist
  • New Boston, OH
  • NPI 1881295152
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1124087929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 GALLIA ST",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625513",
            "telephone_number": "740-456-4024",
            "fax_number": "740-456-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 GALLIA ST",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625513",
            "telephone_number": "740-456-4024",
            "fax_number": "740-456-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM-LAVALLEY",
        "first_name": "ROBIN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0846713",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Gerard
• Travis James Gleim, PHARM.D.
• Alysia Dawn Hall
• Dashe Monique Hall, LDO, ABOC, NCLEC
• Haley Brooke Hall, PTA
• Kimberly Hammond
• David B Hanzel, M.D.
• George D Harlow, D.C.
• Louise Cantey Hasell, MD
• John Parker Haskins I

• Optometrist in New Boston, OH
• Providers in New Boston, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.

Verify at the official NPI Registry.