Active NPI
Robert Lionel Lavoie, O.D.
- Optometrist
- Albuquerque, NM
National Provider Identifier
1992797708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP2499
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72616 | Medicaid | NM |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 499 | NM | MD | Oncology Nutrition Registered Dietitian |
| OP2499 | NM | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.