Cory Lavallee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5100 Issued in MA

Practice address

738 High St
Westwood, MA 02090-2503

Phone

(781) 329-5454

Fax

(781) 329-7813

NPI assigned

Jul 1, 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 MA

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

Specialty

Optometry

Education

New England College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premium Eye Care, PCGroup PAC ID 4880771229, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Premium Eye Care, PC

  • Optometrist
  • Westwood, MA
  • NPI 1205871928
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1962885475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 HIGH ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902503",
            "telephone_number": "781-329-5454",
            "fax_number": "781-329-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 HIGH ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902503",
            "telephone_number": "781-329-5454",
            "fax_number": "781-329-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "CORY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason T Lake, CRNA
• Andrew Lakkis, OD
• Lynsey Lambert
• Cheryl Langford, CRNA
• Tara Sue Lanoir, LICSW
• Marissa A Lazor, MD
• Ann Marie Leahy, RN
• Bette Frank Leahy, MA, CAGS
• Heena K Lee, M.D.
• Kathryn Lee, PT, DPT, OCS

• Optometrist in Westwood, MA
• Providers in Westwood, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.