Mark J Levy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT6989TPA Issued in CA

Practice address

24401 Calle de la Louisa
Suite 300
Laguna Hills, CA 92653-3623

Phone

(949) 951-2020

Fax

(949) 356-1687

NPI assigned

Apr 28, 2006

Last updated

Oct 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1114984408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-951-2020",
            "fax_number": "949-356-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CALLE DE LA LOUISA",
            "address_2": "SUITE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533623",
            "telephone_number": "949-951-2020",
            "fax_number": "949-356-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6989TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.