Sean Michael Lavallie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3427 Issued in MN

Practice address

2950 Curve Crest Blvd W
Stillwater, MN 55082-5085

Phone

(651) 275-3000

Fax

(651) 275-3027

NPI assigned

May 29, 2015

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

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Eye Care LTDGroup PAC ID 4486552437, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.72 of 100Reported as individual

Quality

87.85

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sean.lavallieod.p2@direct.associated-eyecare.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sean.lavallieod.p1@direct.associated-eyecare.nextgenshare.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.

• Associated Eye Care LTD

  • Optometrist
  • Stillwater, MN
  • NPI 1881699197

  WI

  Medicare reassignment Care Compare group
• Associated Eye Care Optical LLC

  • Eyewear Supplier
  • Woodbury, MN
  • NPI 1215945092
  NPD (past)
• Associated Eye Care Optical LLC

  • Eyewear Supplier
  • Hudson, WI
  • NPI 1205214236
  NPD (past)

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1598144099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 TOWER DR W STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827512",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825085",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLIE",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann P Larson, COTA
• Bethany Anne Larson
• Marisa Sue Larson
• Natalie Ann-Louise Larson, LPCC
• Danielle Marie Lausted
• Gary C Lawrence, D.C.
• Japs A. Lee, MD
• Jerene Leferink, SLP
• Steven Robert Lefkowich, LADC
• Linda Jean Lehmann, M.A., L.P.

• Optometrist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.