Active NPI
Larry Martin Levine, O.D.
- Optometrist
- Somers Point, NJ
National Provider Identifier
1023143013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 270A00388800
- Practice address
- 501 New Rd
Groveland Center
Somers Point, NJ 08244-2064 - Phone
- (609) 927-4526
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270A00388800 | NJ | Primary |
Addresses
Primary practice location
501 New Rd
Groveland Center
Somers Point, NJ 08244-2064
Mailing address
501 New Rd
Groveland Center
Somers Point, NJ 08244-2064
Phone (609) 927-4526
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463860 | Other | NJ | AETNA |
| 30207 | Other | NJ | GROUP VISION ASSOCIATES |
| 0089709000 | Other | NJ | AMERIHEALTH |
| 31685 | Other | NJ | DAVIS VISION |
| NJ3888 | Other | NJ | EYE MED |
| 1086683 | Other | NJ | HORISON N.J. HEALTH |
| 19532 | Other | NJ | AMERIGROUP |
| 1956604 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050802001193 | NJ | Practitioner - Optometry | 3779511589 | Practice locations: Somers Point, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
501 New Rd
Somers Point, NJ 08244-2064
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270A00388800 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023143013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 NEW RD",
"address_2": "GROVELAND CENTER",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442064",
"telephone_number": "609-927-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 NEW RD",
"address_2": "GROVELAND CENTER",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442064",
"telephone_number": "609-927-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "LARRY",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "270A00388800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "463860",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP VISION ASSOCIATES",
"identifier": "30207",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0089709000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "31685",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "NJ3888",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORISON N.J. HEALTH",
"identifier": "1086683",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "19532",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1956604",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.