Individual provider Active NPI

Robert Lionel Lavoie, O.D.

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1992797708
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2499 Issued in NM
Practice address
8000 Paseo del Norte NE
Building E
Albuquerque, NM 87122-2983
Phone
(505) 291-1711
Fax
(505) 298-0934
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2499 NM Primary

Addresses

Primary practice location

8000 Paseo del Norte NE
Building E
Albuquerque, NM 87122-2983

Mailing address

8000 Paseo del Norte NE
Building E
Albuquerque, NM 87122-2983
Phone (505) 291-1711

Other identifiers 1

IdentifierTypeStateIssuer
72616MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20090116000242 NM Practitioner - Optometry 1052474087 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8000 Paseo del Norte NE
BLDG E
Albuquerque, NM 87122-2984
Phone (505) 291-1711

8000 Paseo del Norte NE E
Albuquerque, NM 87122-2984

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
499NMMDOncology Nutrition Registered Dietitian
OP2499NMMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1992797708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 PASEO DEL NORTE NE",
            "address_2": "BUILDING E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222983",
            "telephone_number": "505-291-1711",
            "fax_number": "505-298-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 PASEO DEL NORTE NE",
            "address_2": "BUILDING E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222983",
            "telephone_number": "505-291-1711",
            "fax_number": "505-298-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "ROBERT",
        "middle_name": "LIONEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72616",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.