Daniel John Levin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

473 Issued in ND

Practice address

1100 19TH Ave N Ste L&M
Fargo, ND 58102-5906

Phone

(701) 365-1150

NPI assigned

Oct 2, 2006

Last updated

Apr 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Hospital, Fargo, ND, CCN 350070

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Medicare reassignment Care Compare group NPD
• Family Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Fargo, ND
  • NPI 1710066352
  Medicare reassignment NPD
• Daniel J Levin OD PC

  dba Eyesite on 43rd

  • Optometrist
  • Fargo, ND
  • NPI 1659708527
  NPD (past) Authorized official
• Vision Optical LLC

  • Eyewear Supplier
  • Fargo, ND
  • NPI 1477872034
  NPD (past) Authorized official
• Innovis Health LLC

  dba Essentia Health-Osgood Clinic

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1144776576

  Optometrist

  NPD
• Innovis Health, LLC.

  dba Essentia Health Lisbon Clinic

  • Family Medicine Physician
  • Lisbon, ND
  • NPI 1043490790
  NPD
• Family Health Care Center

  dba Family HealthCare

  • Federally Qualified Health Center (FQHC)
  • Moorhead, MN
  • NPI 1992559645
  NPD
• Eye Physicians Group LLC

  dba Bagan Strinden Vision

  • Ophthalmology Physician
  • Fargo, ND
  • NPI 1346405891

  Optometrist

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1053404806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST THIRD STREET",
            "address_2": "ESSENTIA HEALTH DULUTH CLINIC MCL2CRED",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 19TH AVE N STE L&M",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581025906",
            "telephone_number": "701-365-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 11th St S",
            "address_purpose": "LOCATION",
            "city": "Wahpeton",
            "state": "ND",
            "postal_code": "580754655",
            "country_code": "US",
            "telephone_number": "701-642-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1702 University Dr S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581034940",
            "country_code": "US",
            "telephone_number": "701-364-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4622 40th Ave S Ste A",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581044394",
            "country_code": "US",
            "telephone_number": "701-364-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160525900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Lester, RN
• Ann Leuthard
• Joshua Levee
• Mary Levee
• Jeremy Levenhagen, RN
• Helen S Levitt, CDE
• Ralph Levitt, MD
• Abigail Lewis
• Ann Marie Lewis, LPN
• Bailee Lewis

• Optometrist in Fargo, ND
• Providers in Fargo, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.

Verify at the official NPI Registry.