DR. HEATHER LAVALLEE OD
NPI 1679182448
Optometrist in Somerset, KY
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Heather Lavallee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
London, KY 40741
- Reassigned Medicare billing, Kentucky enrollment
- 15 clinicians in this Medicare group
Middlesboro, KY 40965
- Reassigned Medicare billing, Kentucky enrollment
- 3 clinicians in this Medicare group
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.
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, KYPhysician 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.
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.
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.
Which organizations bill Medicare for Heather Lavallee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Lavallee reassigns Medicare benefits to 2 organizations: Huffman And Huffman Psc (London, KY) and Elite Vision Center LLC (Middlesboro, KY). Each 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 Lavallee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Lavallee accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield 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 9 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.