Individual provider Active NPI

David L. Lavoie, O.D.

  • Optometrist
  • Sanford, ME
National Provider Identifier
1942229398
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT626 Issued in ME
Practice address
272 Cottage St
Sanford, ME 04073-1815
Phone
(207) 324-8888
Fax
(207) 636-5023
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT626 ME Primary

Addresses

Primary practice location

272 Cottage St
Sanford, ME 04073-1815

Mailing address

272 Cottage St
Sanford, ME 04073-1815
Phone (207) 324-8888

Other identifiers 1

IdentifierTypeStateIssuer
289040099MedicaidME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address David.Lavoie@direct.revolutionehr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care Optometrist Current Accepting new patients

Locations

272 Cottage St
Sanford, ME 04073
Phone (207) 324-8888

Interoperability endpoints

  • Direct secure messaging: david.lavoie@direct.revolutionehr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1942229398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-8888",
            "fax_number": "207-636-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-8888",
            "fax_number": "207-636-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "DAVID",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289040099",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "David.Lavoie@direct.revolutionehr.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "272 Cottage St",
            "city": "Sanford",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040731815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.