Individual provider Active NPI

William Lavoie, O.D.

  • Corneal and Contact Management Optometrist
  • Vero Beach, FL
National Provider Identifier
1457427510
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC001481 Issued in FL
Practice address
1020 Beaumaris Way
Vero Beach, FL 32963-2387
Phone
(772) 231-9177
Fax
(772) 231-9177
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC001481 FL Primary
Corneal and Contact Management Optometrist 152WC0802X 873 CT

Addresses

Primary practice location

1020 Beaumaris Way
Vero Beach, FL 32963-2387

Mailing address

1020 Beaumaris Way
Vero Beach, FL 32963-2387
Phone (772) 231-9177

Other identifiers 1

IdentifierTypeStateIssuer
620509700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20100811000023 CT Practitioner - Optometry 1951435130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King Family Eye Care, LLCGroup PAC ID 3173423175, 4 clinicians

Practice addresses (Care Compare)

761 Boston Post Rd
Old Saybrook, CT 06475-2126
Phone (860) 388-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC001481FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
King Family Eye Care, LLC CurrentSince May 12, 2010 Accepting new patients
Town Line Eye Care, LLC Past Accepting new patients

Locations

761 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 388-9300

80 Town Line Rd
Rocky Hill, CT 06067
Phone (860) 258-2380

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1457427510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BEAUMARIS WAY",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632387",
            "telephone_number": "772-231-9177",
            "fax_number": "772-231-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BEAUMARIS WAY",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632387",
            "telephone_number": "772-231-9177",
            "fax_number": "772-231-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC001481",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620509700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.