Active NPI
Levin Eye Care Center, P.C.
- Vision Therapy Optometrist
- Whiting, IN
National Provider Identifier
1114101334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 18001641
- Legal business name
- LEVIN EYE CARE CENTER, P.C.
- Practice address
- 1334 119TH St.
Whiting, IN 46394 - Phone
- (219) 659-3050
- Fax
- (219) 659-3053
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Angelica Carrillo
- Title
- Office Manager
- Phone
- (219) 659-3050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 18001641 | IN | Primary |
Addresses
Primary practice location
1334 119TH St.
Whiting, IN 46394
Mailing address
1334 119TH St
Whiting, IN 46394-1631
Phone (219) 659-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336220458 | Other | IN | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090313000437 | IN | Part B Supplier - Clinic/Group Practice | 3678630860 |
Receives reassigned benefits from 1 practitioner Practice locations: Whiting, IN |
| O20100930088513 | IN | DME Supplier - Physician - Optometrist | 3678630860 | Practice locations: Whiting, IN |
National Provider Directory
National Provider DirectoryLocations
1334 119th St
Whiting, IN 46394
Phone (219) 659-3050
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Whiting, IN
- NPI 1437414398
-
- Ophthalmology Physician
- Merrillville, IN
- NPI 1346373313
-
- Optometrist
- Whiting, IN
- NPI 1215765938
-
- Optometrist
- Schaumburg, IL
- NPI 1891946216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201132800000",
"number": "1114101334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 119TH ST",
"city": "WHITING",
"state": "IN",
"postal_code": "463941631",
"telephone_number": "219-659-3050",
"fax_number": "219-659-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 119TH ST.",
"city": "WHITING",
"state": "IN",
"postal_code": "46394",
"telephone_number": "219-659-3050",
"fax_number": "219-659-3053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVIN EYE CARE CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2008-01-24",
"status": "A",
"authorized_official_last_name": "CARRILLO",
"authorized_official_first_name": "ANGELICA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "219-659-3050",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "IN",
"license": "18001641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1336220458",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiting, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.