Individual provider Active NPI

Hillary Alyssa Lavender, O.D.

  • Optometrist
  • Midland, TX
National Provider Identifier
1760902860
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9101T Issued in TX
Practice address
4109 N Midland Dr
Midland, TX 79707-3500
Phone
(432) 694-5259
Fax
(432) 697-3815
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9101T TX Primary

Addresses

Primary practice location

4109 N Midland Dr
Midland, TX 79707-3500

Mailing address

4109 N Midland Dr
Midland, TX 79707-3500
Phone (432) 694-5259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190115000049 TX Practitioner - Optometry 9436495322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS E M Wright and Wright and Wright Optometrists PCGroup PAC ID 7719081835, 3 clinicians

Practice addresses (Care Compare)

707 Hobbs Hwy
Seminole, TX 79360-3401
Phone (432) 758-3229

Merit-based Incentive Payment System (MIPS)

Final score
87.57 of 100Reported as group
Quality
75.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS E M Wright & Wright & Wright Optometrists PC Optometrist CurrentSince Feb 1, 2020 Accepting new patients
Vielma Vision Eyecare Optometrist PastSince Nov 17, 2018 Accepting new patients
DRS E M Wright & Wright & Wright Optometrists PC Optometrist Past Accepting new patients

Locations

1329 N Main St
Andrews, TX 79714
Phone (432) 523-2660

707 Hobbs Hwy
Seminole, TX 79360
Phone (432) 758-3229

Organizations & group practices 3

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760902860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073500",
            "telephone_number": "432-694-5259",
            "fax_number": "432-697-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073500",
            "telephone_number": "432-694-5259",
            "fax_number": "432-697-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "HILLARY",
        "middle_name": "ALYSSA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9101T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.