Individual provider Active NPI

Michelle Levin, O.D.

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1225318975
Registry record updated Apr 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4645 Issued in FL
Practice address
777 E 25TH St Ste 412-414
Hialeah, FL 33013
Phone
(305) 835-7588
Fax
(305) 835-6372
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4645 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 412-414
Hialeah, FL 33013

Mailing address

1039 Creekford Dr
Weston, FL 33326-2859
Phone (954) 439-2192

Other practice location 1

1608 Town Center Cir Ste C
Weston, FL 33326-3639
Phone (954) 945-5570

Other practice location 2

777 E 25th St Ste 412-414
Hialeah, FL 33013
Phone (305) 835-7588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111116000594 FL Practitioner - Optometry 4284808874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle Levin OD PAGroup PAC ID 8527342112, 6 clinicians

Practice addresses (Care Compare)

777 E 25TH St
Suite 414
Hialeah, FL 33013-3835
Phone (305) 835-7588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4645FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Levin OD PA Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Orlando Galindez MD PA Past Accepting new patients

Locations

777 E 25th St
Ste 414
Hialeah, FL 33013
Phone (305) 835-7588

777 E 25th St
Ste 412414
Hialeah, FL 33013
Phone (305) 835-7588

1608 Town Center Blvd
Ste C
Weston, FL 33326
Phone (954) 384-1127

Interoperability endpoints

  • Direct secure messaging: michelle.levinod.p19@direct.eyefl.nextgenshare.com

Organizations & group practices 2

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": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555200000000",
    "number": "1225318975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 CREEKFORD DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262859",
            "telephone_number": "954-439-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 412-414",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33013",
            "telephone_number": "305-835-7588",
            "fax_number": "305-835-6372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Town Center Cir Ste C",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263639",
            "country_code": "US",
            "telephone_number": "954-945-5570",
            "fax_number": "954-945-5561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 E 25th St Ste 412-414",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "33013",
            "country_code": "US",
            "telephone_number": "305-835-7588",
            "fax_number": "305-835-6372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2019-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.