MIRIAM J LAVELLE OD
NPI 1275533960
Optometrist in Roxboro, NC

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
917 RIDGE RD, ROXBORO, NC 27573(336) 599-0138(336) 599-0080 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miriam J Lavelle Od NPPES

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

MIRIAM J LAVELLE OD (NPI 1275533960) is an individual optometrist in Roxboro, North Carolina, licensed in North Carolina (NC1282) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1987).

NPPES Registry Identity

NPI1275533960
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMIRIAM J LAVELLECredential: OD
Location Address917 RIDGE RDRoxboro, NC 27573-4511
Mailing Address917 Ridge RdRoxboro, NC 27573-4511 · (336) 599-0138 · Fax (336) 599-0080
Fax(336) 599-0080
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1987
Enumeration DateJuly 26, 2005
Last NPPES UpdateJanuary 28, 2013
NPI 1275533960 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 NC · NC1282
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.

917 RIDGE RD, Roxboro, NC 27573

Other Identifiers 5

Other0204CNC · Bcbs
Medicaid89-0919FNC
Medicare NSC0133540001NC
Medicare PIN2466686DNC
Medicare UPINT88945

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

Miriam J Lavelle Od 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 ID2062500614
PECOS Enrollment IDI20071114000440
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
268 services266 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
139 services93 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
41 services41 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
38 services37 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
33 services22 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27573 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims12 services$51.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Optometrist
917 RIDGE RD
ROXBORO, NC 27573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miriam Lavelle's NPI number?

The NPI number for Miriam Lavelle is 1275533960. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Miriam Lavelle located?

Miriam Lavelle practices at 917 Ridge Rd, Roxboro, NC 27573. The listed phone number is (336) 599-0138.

What is Miriam Lavelle's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Miriam Lavelle enrolled in Medicare?

Yes. Miriam Lavelle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Miriam Lavelle accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Miriam Lavelle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miriam Lavelle was last updated on January 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.