Individual provider Active NPI

Robert Neil Lewenson, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1235181769
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1544 Issued in FL
Practice address
8025 Citrus Park Town Ctr
Tampa, FL 33625-3180
Phone
(813) 792-1628
Fax
(813) 792-8379
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 1544 FL Primary

Addresses

Primary practice location

8025 Citrus Park Town Ctr
Tampa, FL 33625-3180

Mailing address

5218 E Longboat Blvd
Tampa, FL 33615-4232
Phone (813) 855-3767

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
I20031216000159 FL Practitioner - Optometry 9032022843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 1544FLMDOptometrist

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1235181769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 E LONGBOAT BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154232",
            "telephone_number": "813-855-3767",
            "fax_number": "813-880-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 CITRUS PARK TOWN CTR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253180",
            "telephone_number": "813-792-1628",
            "fax_number": "813-792-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWENSON",
        "first_name": "ROBERT",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.