Individual provider Active NPI

Michael Richard Leve, OD

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1215044987
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2617TG Issued in TX
Practice address
1900 Oates Dr
#151
Mesquite, TX 75150-6802
Phone
(972) 279-1160
Fax
(972) 279-1098
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2617TG TX Primary

Addresses

Primary practice location

1900 Oates Dr
#151
Mesquite, TX 75150-6802

Mailing address

1900 Oates Dr
#151
Mesquite, TX 75150-6802
Phone (972) 279-1160

Other identifiers 1

IdentifierTypeStateIssuer
E0099883OtherTXDPS

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
I20120105000166 TX Practitioner - Optometry 7618143116 Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2617TGTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215044987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OATES DR",
            "address_2": "#151",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506802",
            "telephone_number": "972-279-1160",
            "fax_number": "972-279-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OATES DR",
            "address_2": "#151",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506802",
            "telephone_number": "972-279-1160",
            "fax_number": "972-279-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVE",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2617TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "E0099883",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.