Lavalley Vision Care, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2071 Issued in OK

Legal business name

LAVALLEY VISION CARE, INC

Practice address

900 W Main St
Henryetta, OK 74437-4252

Phone

(918) 652-2345

Fax

(918) 652-2537

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Cynthia T Angel

Title

Account Manager

Phone

(918) 652-2345

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Jay Lavalley, O.D.

  • Optometrist
  • Henryetta, OK
  • NPI 1285676205
  NPD

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1447422795",
    "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": {
        "organization_name": "LAVALLEY VISION CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "918-652-2345"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Scott Johnson, D.D.S.
• Linda Carol Jordan
• Monica Kelsey
• Julie Anne Knox, CRNA
• Lake Drive Health Care LLC
• Gary Jay Lavalley, O.D.
• Jason Layman, PHARMD
• Leah Ledford
• Brenda J Leftwich, LPC M.S.P.S.
• Jeffry S Lester, MD

• All providers in Henryetta, OK
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.