Individual provider Active NPI

David B Levine, OD

  • Optometrist
  • Toledo, OH
National Provider Identifier
1093724577
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2971 T940 Issued in OH
Practice address
4011 Secor Rd
Toledo, OH 43623-4266
Phone
(419) 474-8833
Fax
(419) 474-8943
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2971 T940 OH Primary

Addresses

Primary practice location

4011 Secor Rd
Toledo, OH 43623-4266

Mailing address

4011 Secor Rd
Toledo, OH 43623-4266
Phone (419) 474-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20230619001685 NV Practitioner - Optometry 9436063021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gammoh Premier Vision LLCGroup PAC ID 4880849843, 4 clinicians

Practice addresses (Care Compare)

3445 W Craig Rd
Suite a
North Las Vegas, NV 89032-5117
Phone (702) 840-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2971 T940OHMDOptometrist
1065NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westgate Vision Center LLC Optometrist CurrentSince Mar 10, 2018 Accepting new patients
Rudey Opticians, LTD Optometrist Current Accepting new patients
Gammoh Premier Vision LLC Optometrist CurrentSince Jun 19, 2023 Accepting new patients
Vision Optica & Supplies LLC Optometrist CurrentSince Apr 30, 2024 Accepting new patients
Eye Doc Group LLC PastSince Apr 24, 2022 Accepting new patients
Ohio Vision of Toledo Inc Past Accepting new patients

Locations

556 N Eastern Ave
Ste A
Las Vegas, NV 89101
Phone (702) 385-7900

805 S Rainbow Blvd
Las Vegas, NV 89145
Phone (702) 385-7900

2121 Civic Center Dr
North Las Vegas, NV 89030
Phone (725) 258-8688

3445 W Craig Rd
Ste A
North Las Vegas, NV 89032
Phone (702) 840-2020

152 W South Boundary St
Perrysburg, OH 43551
Phone (419) 874-3661

3128 Secor Rd
Toledo, OH 43606
Phone (419) 531-2628

4011 Secor Rd
Toledo, OH 43623
Phone (419) 474-8833

Organizations & group practices 6

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1093724577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234266",
            "telephone_number": "419-474-8833",
            "fax_number": "419-474-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234266",
            "telephone_number": "419-474-8833",
            "fax_number": "419-474-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2971 T940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.