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DR. HEATHER LAVALLEE OD
NPI 1679182448
Optometrist in Somerset, KY

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment
355 LANGDON ST, SOMERSET, KY 42503(606) 877-1877 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, Jul 30, 2021, Jul 28, 2020 (3 updates tracked since 2020).

About Dr. Heather Lavallee Od NPPES

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

DR. HEATHER LAVALLEE OD (NPI 1679182448) is an individual optometrist in Somerset, Kentucky, licensed in Kentucky (2183DT) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679182448
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HEATHER LAVALLEECredential: OD
Location Address355 LANGDON STSomerset, KY 42503-2792
Mailing Address355 Langdon StSomerset, KY 42503-2792 · (606) 877-1877
Phone(606) 877-1877
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 28, 2020
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1679182448 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 KY · 2183DT
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.
355 LANGDON ST, Somerset, KY 42503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Heather Lavallee 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 ID6305240839
PECOS Enrollment IDI20210805002601
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 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.

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.
94 services76 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
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.
25 services25 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
18 services18 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.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 3

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

DR. EZEKIEL AKANDE M.D.
Anesthesiology (Pain Medicine)
355 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 677-0683
SOMERSET REGIONAL PAIN CENTER LLC
Clinic/Center (Pain)
355 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 677-0683
ANTHONY R UY LLC
Obstetrics & Gynecology
355 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-8391

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 Lavallee's NPI number?

The NPI number for Heather Lavallee is 1679182448. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Heather Lavallee located?

Heather Lavallee practices at 355 Langdon St, Somerset, KY 42503. The listed phone number is (606) 877-1877.

What is Heather Lavallee's specialty?

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

Is Heather Lavallee enrolled in Medicare?

Yes. Heather Lavallee 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 Heather Lavallee accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 5 other insurers list Heather Lavallee 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.

Is Heather Lavallee affiliated with any hospitals?

According to CMS data, Heather Lavallee is affiliated with Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Heather Lavallee was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.