Miriam J Lavelle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC1282 Issued in NC

Practice address

917 Ridge Rd
Roxboro, NC 27573-4511

Phone

(336) 599-0138

Fax

(336) 599-0080

NPI assigned

Jul 26, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Pennsylvania College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Roxboro Family Vision, Inc

  • Optometrist
  • Roxboro, NC
  • NPI 1215126024
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1275533960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734511",
            "telephone_number": "336-599-0138",
            "fax_number": "336-599-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734511",
            "telephone_number": "336-599-0138",
            "fax_number": "336-599-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELLE",
        "first_name": "MIRIAM",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-0919F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0204C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William T Landen Jr.
• Karen Landis
• Lane and Associates Xlviii DDS PA
• Megan Elizabeth Langley, PTA
• Emily Carver Lappin, PHARMD
• Merry Leathers, CSAC
• Ellie Rose Lee, M.D.
• Laurie W Lee, PA
• Tami Atkins Lee, PA-C
• Stephanie Michelle Levan Elbel, MMS, PA-C

• Optometrist in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.