HEATHER LAVALLEE THERIAULT OD
NPI 1548312440
Optometrist in Southington, CT
About Heather Lavallee Theriault Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER LAVALLEE THERIAULT OD (NPI 1548312440) is an individual optometrist in Southington, Connecticut, licensed in Connecticut (002519) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Heather Lavallee Theriault 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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Theriault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southington, CT 06489
- Reassigned Medicare billing, Connecticut enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06489 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Heather Theriault's NPI number?
The NPI number for Heather Theriault is 1548312440. It was assigned to this individual provider in the NPPES registry on January 18, 2007.
Where is Heather Theriault located?
Heather Theriault practices at 27 Meriden Ave, Southington, CT 06489. The listed phone number is (860) 628-9937.
What is Heather Theriault's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Heather Theriault enrolled in Medicare?
Yes. Heather Theriault 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.
Which organization bills Medicare for Heather Theriault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Theriault reassigns Medicare benefits to Southington Optometric Care, LLC (Southington, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Theriault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Theriault accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Heather Theriault 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 Heather Theriault was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heather Lavallee Theriault, OD · NPI 1548312440
Optometrist provider in Southington, Connecticut. Individual provider, active in the CMS NPPES registry since January 18, 2007.
## Identity
- **NPI:** 1548312440 (Entity type: Individual)
- **Enumerated:** January 18, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 002519 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 27 MERIDEN AVE, Southington, CT 06489
- **Phone:** (860) 628-9937 · **Fax:** (860) 621-4911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southington Optometric Care, LLC (NPI 1972799260, Southington, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** October 31, 2007
- **Other identifiers:** Medicare UPIN U75730; Medicare NSC 1294950001 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1548312440) · Data from the CMS NPPES public registry.