Individual provider Active NPI

Jeffrey Herschel Levenson, M.D.

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1023118379
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0052225 Issued in FL
Practice address
751 Oak St Ste 200
Jacksonville, FL 32204-3361
Phone
(904) 366-3781
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0052225 FL Primary

Addresses

Primary practice location

751 Oak St Ste 200
Jacksonville, FL 32204-3361

Mailing address

751 Oak St Ste 200
Jacksonville, FL 32204-3361
Phone (904) 366-3781

Other identifiers 2

IdentifierTypeStateIssuer
07299WOtherFLMEDICARE ID
261362000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213000735 FL Practitioner - Ophthalmology 5890845895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levenson Eye Associates IncGroup PAC ID 4082764089, 9 clinicians

Practice addresses (Care Compare)

751 Oak St
Suite 200
Jacksonville, FL 32204-3361
Phone (904) 366-3781

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0052225FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Levenson Eye Associates, Inc. Ophthalmology CurrentSince Jan 1, 2001 Accepting new patients

Locations

751 Oak St
Ste 200
Jacksonville, FL 32204
Phone (904) 366-3781

3020 Hartley Rd
Ste 190
Jacksonville, FL 32257
Phone (904) 292-2020

Networks

  • FL PPO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1023118379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 OAK ST STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043361",
            "telephone_number": "904-366-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 OAK ST STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043361",
            "telephone_number": "904-366-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSON",
        "first_name": "JEFFREY",
        "middle_name": "HERSCHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0052225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "07299W",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261362000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.