MARK A LAVINE O.D.
NPI 1154482594
Optometrist in Troy, MI

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
354 W 14 MILE RD, OAKLAND MALL, TROY, MI 48083(248) 585-0044(248) 585-5525 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark A Lavine O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A LAVINE O.D. (NPI 1154482594) is an individual optometrist in Troy, Michigan, licensed in Michigan (4901002664) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1978).

NPPES Registry Identity

NPI1154482594
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK A LAVINECredential: O.D.
Location Address354 W 14 MILE RD, OAKLAND MALLTroy, MI 48083-4218
Mailing Address5448 Van Ness DrBloomfield Hills, MI 48302-2670 · (248) 857-2353
Fax(248) 585-5525
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1978
Enumeration DateDecember 12, 2006
Last NPPES UpdateMay 26, 2010
NPI 1154482594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MI · 4901002664
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

354 W 14 MILE RD, Troy, MI 48083

Other Identifiers 2

Medicare UPINU31648MI
Medicare PINN34040068MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark A Lavine O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800831074
PECOS Enrollment IDI20050628000575
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
354 W 14 MILE RD, OAKLAND MALL
TROY, MI 48083

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154482594, enumerated as an "individual" on December 12, 2006.

The provider is located at 354 W 14 MILE RD OAKLAND MALL TROY, MI 48083 and the phone number is (248) 585-0044.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.