Individual provider Active NPI

Michelle R Levin, OD

  • Optometrist
  • Pasadena, TX
National Provider Identifier
1184626541
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04289T Issued in TX
Practice address
5125 Fairmont Pkwy
Pasadena, TX 77505-3727
Phone
(713) 477-6929
NPI assigned
Aug 15, 2005
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04289T TX Primary

Addresses

Primary practice location

5125 Fairmont Pkwy
Pasadena, TX 77505-3727

Mailing address

2855 Gramercy St # 400
Houston, TX 77025-1756
Phone (713) 668-6828

Other identifiers 1

IdentifierTypeStateIssuer
041925103MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.levin@houstoneye.eyemdemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101027001079 TX Practitioner - Optometry 8628262219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Optic PLLCGroup PAC ID 2163524133, 13 clinicians

Practice addresses (Care Compare)

1699 Research Forest Dr
Suite 150
Shenandoah, TX 77380-3685
Phone (281) 363-2155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4289TXMDBehavioral Analyst
04289TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jul 1, 2011 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2011 Accepting new patients
Houston Optic, PLLC Optometrist CurrentSince Sep 1, 2010 Accepting new patients
Houston Optic PLLC Optometrist CurrentSince Sep 1, 2010 Accepting new patients
Pasadena Ophthalmology Clinic Optometrist Past Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

2855 Gramercy St
Houston, TX 77025
Phone (713) 668-1828

2855 Gramercy St
#400
Houston, TX 77025

590 Chimney Rock Rd
Houston, TX 77056
Phone (713) 782-4406

22659 Highway 59 N
Ste 100
Kingwood, TX 77339
Phone (281) 858-3937

5125 Fairmont Pkwy
Pasadena, TX 77505
Phone (713) 477-6929

1699 Research Forest Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 363-2071

1447 Highway 6
Ste 110
Sugar Land, TX 77478
Phone (281) 565-2020

Interoperability endpoints

  • Direct secure messaging: michelle.levin@houstoneye.direct.eyemdemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1184626541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST # 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251756",
            "telephone_number": "713-668-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053727",
            "telephone_number": "713-477-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04289T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041925103",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.levin@houstoneye.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5125 Fairmont Pkwy",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775053727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.