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LA VALLEE OPTOMETRIC LTD.
NPI 1851459481
Optometrist in Chicago, IL

Active since December 05, 2006
2111 W SUPERIOR ST, CHICAGO, IL 60612(773) 895-3411(312) 226-0802 Get Directions Write a Review

NPPES record last updated: September 29, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About La Vallee Optometric Ltd. NPPES

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

LA VALLEE OPTOMETRIC LTD. (NPI 1851459481) is a healthcare organization registered as an optometrist in Chicago, Illinois and active in the NPI registry since December 2006. The organization lists Keith La Vallee, President, as its authorized official.

NPPES Registry Identity

NPI1851459481
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLA VALLEE OPTOMETRIC LTD.
Location Address2111 W SUPERIOR STChicago, IL 60612-1315
Mailing Address2111 W Superior StChicago, IL 60612-1315 · (773) 895-3411 · Fax (312) 226-0802
Phone(773) 895-3411
Fax(312) 226-0802
Organization SubpartNo
Authorized OfficialKeith La ValleePresident · (773) 895-3411
Enumeration DateDecember 5, 2006
Last NPPES UpdateSeptember 29, 2008
✔ NPI 1851459481 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 IL · 046009075
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.
2111 W SUPERIOR ST, Chicago, IL 60612
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Other Identifiers 1

Medicare PIN213516IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Vallee Optometric Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20070613000256Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to La Vallee Optometric Ltd., which bills Medicare for the services this clinician delivers.

Clinician (1)

Keith La Vallee, O.D.
Optometry
NPI 1023080553
2111 W SUPERIOR ST
Chicago, IL 60612
(312) 226-1020
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 La Vallee Optometric Ltd.'s NPI number?

The NPI number for La Vallee Optometric Ltd. is 1851459481. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is La Vallee Optometric Ltd. located?

La Vallee Optometric Ltd. is located at 2111 W Superior St, Chicago, IL 60612. The listed phone number is (773) 895-3411.

What is La Vallee Optometric Ltd.'s specialty?

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

Is La Vallee Optometric Ltd. enrolled in Medicare?

Yes. La Vallee Optometric Ltd. is registered in the Medicare PECOS enrollment system.

When is La Vallee Optometric Ltd.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through La Vallee Optometric Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to La Vallee Optometric Ltd.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Vallee Optometric Ltd. was last updated on September 29, 2008. 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.