Active NPI
Alexandra Levashvili, O.D.
- Optometrist
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002963
- Practice address
- 12647 W Smokey Dr Ste 116
Surprise, AZ 85378-3799 - Phone
- (623) 583-0377
- Fax
- (623) 583-0377
- NPI assigned
- Aug 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 | OEG002963 | PA | Primary |
Addresses
Primary practice location
12647 W Smokey Dr Ste 116
Surprise, AZ 85378-3799
Mailing address
12647 W Smokey Dr Ste 116
Surprise, AZ 85378-3799
Phone (623) 583-0377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12647 W Smokey Dr
Suite 116
Surprise, AZ 85378-3799
Phone (623) 583-0377
295 Buck Rd
Suite 316
Holland, PA 18966-1750
Phone (215) 953-1200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002963 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tus Ojos Inc | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| Keen Eye Center LLC | Optometrist | Current | Accepting new patients |
| Jason D Munitz OD LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
Locations
12801 W Bell Rd
Ste 139
Surprise, AZ 85378
Phone (480) 980-4238
560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540
2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760
412 W Lehigh Ave
Philadelphia, PA 19133
Phone (215) 425-0124
295 Buck Rd
Ste 316
Southampton, PA 18966
Phone (215) 953-1200
Organizations & group practices 5
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.
-
- Optometrist
- Surprise, AZ
- NPI 1447035688
-
- Optometrist
- Holland, PA
- NPI 1366640450
-
- Optometrist
- Philadelphia, PA
- NPI 1831291814
-
- Optometrist
- Erie, PA
- NPI 1063579837
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1174909923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12647 W SMOKEY DR STE 116",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853783799",
"telephone_number": "623-583-0377",
"fax_number": "623-583-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12647 W SMOKEY DR STE 116",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853783799",
"telephone_number": "623-583-0377",
"fax_number": "623-583-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVASHVILI",
"first_name": "ALEXANDRA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.