Gary Jay Lavalley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2071 Issued in OK

Practice address

900 W Main St
Henryetta, OK 74437-4252

Phone

(918) 652-2345

Fax

(918) 652-2537

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Henryetta Eye Center Professional name

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holdenville Eye Center PLLCGroup PAC ID 6305143009, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.85 of 100Reported as group

Quality

75.7

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.42 of 100Reported as group

Quality

60.84

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gary.lavalley@direct.revolutionehr.com

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.

• Holdenville Eye Center PLLC

  • Optometrist
  • Holdenville, OK
  • NPI 1558734970
  Medicare reassignment Care Compare group NPD Authorized official
• Henryetta Eye Center

  • Optometrist
  • Henryetta, OK
  • NPI 1174727622
  Medicare reassignment NPD
• Lavalley Vision Care, Inc

  • Optometrist
  • Henryetta, OK
  • NPI 1447422795
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1285676205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744374252",
            "telephone_number": "918-652-2345",
            "fax_number": "918-652-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744374252",
            "telephone_number": "918-652-2345",
            "fax_number": "918-652-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEY",
        "first_name": "GARY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "410003624",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00626582",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRYETTA",
            "last_name": "CENTER",
            "middle_name": "EYE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Linda Carol Jordan
• Monica Kelsey
• Julie Anne Knox, CRNA
• Lake Drive Health Care LLC
• Lavalley Vision Care, Inc
• Jason Layman, PHARMD
• Leah Ledford
• Brenda J Leftwich, LPC M.S.P.S.
• Jeffry S Lester, MD
• Lovell Family Clinic, PC

• Optometrist in Henryetta, OK
• Providers in Henryetta, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.