Individual provider Active NPI

Martin D Levitin, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1205970605
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3746 Issued in OH
Practice address
3469 E Broad St
Columbus, OH 43213-1000
Phone
(614) 235-2392
Fax
(614) 235-2756
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3746 OH Primary

Addresses

Primary practice location

3469 E Broad St
Columbus, OH 43213-1000

Mailing address

3469 E Broad St
Columbus, OH 43213-1000
Phone (614) 235-2392

Other identifiers 8

IdentifierTypeStateIssuer
2200260OtherOHUNITED HEALH CARE OF OHIO INC
300013755026OtherOHCARESOURCE
LE16214OtherOHSPECTERA
000000224734OtherOHANTHEM BLUE CROSS AND BLUE SHIELD OF OHIO
0577246MedicaidOH
2649129MedicaidOH
300013755OtherOHCIGNA
300013755OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120221000639 OH Practitioner - Optometry 3173533965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3469 E Broad St
Columbus, OH 43213-1000
Phone (614) 235-2392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3746OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Levitin Eye Care Center Inc Optometrist CurrentSince Feb 4, 2002 Accepting new patients

Locations

3469 E Broad St
Columbus, OH 43213
Phone (614) 235-2392

Organizations & group practices 1

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1205970605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131000",
            "telephone_number": "614-235-2392",
            "fax_number": "614-235-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131000",
            "telephone_number": "614-235-2392",
            "fax_number": "614-235-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITIN",
        "first_name": "MARTIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALH CARE OF OHIO INC",
            "identifier": "2200260",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "300013755026",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "LE16214",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD OF OHIO",
            "identifier": "000000224734",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577246",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2649129",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "300013755",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "300013755",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.