Individual provider Active NPI

Paul E Levine, O.D.

  • Optometrist
  • Southborough, MA
National Provider Identifier
1013977685
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4028 Issued in MA
Practice address
30 Turnpike Rd
Suite 7
Southborough, MA 01772-2114
Phone
(508) 481-8558
Fax
(508) 848-3057
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4028 MA Primary
Low Vision Rehabilitation Optometrist 152WL0500X 4028 MA
Corneal and Contact Management Optometrist 152WC0802X 4028 MA

Addresses

Primary practice location

30 Turnpike Rd
Suite 7
Southborough, MA 01772-2114

Mailing address

30 Turnpike Rd
Suite 7
Southborough, MA 01772-2114
Phone (508) 481-8558

Other identifiers 1

IdentifierTypeStateIssuer
0700347MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000549 MA Practitioner - Optometry 3375509276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians

Practice addresses (Care Compare)

30 Turnpike Rd
Suite 7
Southborough, MA 01772-2115
Phone (508) 481-8558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4028MAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Sep 7, 2022 Accepting new patients

Locations

15 Central St
Andover, MA 01810
Phone (978) 475-1230

30 Turnpike Rd
Ste 7
Southborough, MA 01772
Phone (508) 481-8558

30 Turnpike Rd
Ste 78
Southborough, MA 01772

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1013977685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TURNPIKE RD",
            "address_2": "SUITE 7",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722114",
            "telephone_number": "508-481-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TURNPIKE RD",
            "address_2": "SUITE 7",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722114",
            "telephone_number": "508-481-8558",
            "fax_number": "508-848-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4028",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MA",
            "license": "4028",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "4028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0700347",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southborough, MA

Sources for this page

Verify at the official NPI Registry.