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MARIA LAVALLE O.D.
NPI 1710427463
Optometrist in Denver, CO

Active since February 28, 2017PECOS EnrolledAccepts Medicare Assignment
4804 CHAMBERS RD, DENVER, CO 80239(303) 576-6655 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 22, 2017 and 1 more (4 updates tracked since 2017).

About Maria Lavalle O.d. NPPES

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

MARIA LAVALLE O.D. (NPI 1710427463) is an individual optometrist in Denver, Colorado, licensed in Colorado (OPT.000331) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Royston, and is a graduate of Southern College Of Optometry (2017).

NPPES Registry Identity

NPI1710427463
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARIA LAVALLECredential: O.D.
Location Address4804 CHAMBERS RDDenver, CO 80239-5152
Mailing Address285 Wolf Den RdRoyston, GA 30662-8230 · (706) 436-9479
Phone(303) 576-6655
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2017
Enumeration DateFebruary 28, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1710427463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · OPT.000331
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4804 CHAMBERS RD, Denver, CO 80239
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Secondary Practice Location 1

Location 1285 Wolf Den RdRoyston, GA 30662-8230 · Phone (706) 436-9479

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Maria Lavalle 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 ID9436419371
PECOS Enrollment IDI20180214000662
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 5

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.
74 services64 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.
63 services59 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).
19 services15 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.
15 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80239 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 4

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

ONEOPTO CO 1 PLLC
Optometrist
4804 CHAMBERS RD
DENVER, CO 80239
Denver County (303) 576-6655
LOOK OPTICAL, PC
Technician/Technologist (Optician)
4804 CHAMBERS RD
DENVER, CO 80239
Denver County (303) 576-6655
SCOTT KENNETH THEODORE
Optometrist
4804 CHAMBERS RD
DENVER, CO 80239
Denver County (303) 576-6655
LOOK OPTICAL, PC
Optometrist
4804 CHAMBERS RD
DENVER, CO 80239
Denver County (303) 576-6655

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 Maria Lavalle's NPI number?

The NPI number for Maria Lavalle is 1710427463. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Where is Maria Lavalle located?

Maria Lavalle practices at 4804 Chambers Rd, Denver, CO 80239. The listed phone number is (303) 576-6655.

What is Maria Lavalle's specialty?

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

Is Maria Lavalle enrolled in Medicare?

Yes. Maria Lavalle 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 Maria Lavalle accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Maria Lavalle 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 Maria Lavalle was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.