Individual provider Active NPI

Maria Lavalle, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1710427463
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.000331 Issued in CO
Practice address
4804 Chambers Rd
Denver, CO 80239-5152
Phone
(303) 576-6655
NPI assigned
Feb 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OPT.000331 CO Primary

Addresses

Primary practice location

4804 Chambers Rd
Denver, CO 80239-5152

Mailing address

285 Wolf Den Rd
Royston, GA 30662-8230
Phone (706) 436-9479

Other practice location 1

285 Wolf Den Rd
Royston, GA 30662-8230
Phone (706) 436-9479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20180214000662 CO Practitioner - Optometry 9436419371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisa M Hamilton, PCGroup PAC ID 8426156175, 4 clinicians

Practice addresses (Care Compare)

5132 S Wadsworth Blvd
Unit 110
Littleton, CO 80123-2213
Phone (303) 972-9731

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.000331COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M Hamilton, PC Optometrist CurrentSince Aug 28, 2024 Accepting new patients
All About Eyes, LLC Optometrist CurrentSince Feb 15, 2024 Accepting new patients

Locations

2370 E Arapahoe Rd
Ste 921
Centennial, CO 80122
Phone (303) 913-4781

5132 S Wadsworth Blvd
Unit 110
Littleton, CO 80123
Phone (303) 972-9731

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": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710427463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 WOLF DEN RD",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306628230",
            "telephone_number": "706-436-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 CHAMBERS RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802395152",
            "telephone_number": "303-576-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Wolf Den Rd",
            "address_purpose": "LOCATION",
            "city": "Royston",
            "state": "GA",
            "postal_code": "306628230",
            "country_code": "US",
            "telephone_number": "706-436-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVALLE",
        "first_name": "MARIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.000331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.