Individual provider Active NPI

Stella Levin, O.D.

  • Optometrist
  • Castro Valley, CA
National Provider Identifier
1235197138
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12429T Issued in CA
Practice address
2687 Castro Valley Blvd
Castro Valley, CA 94546-5409
Phone
(510) 538-3937
NPI assigned
May 2, 2006
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12429T CA Primary

Addresses

Primary practice location

2687 Castro Valley Blvd
Castro Valley, CA 94546-5409

Mailing address

36167 Perkins St
Fremont, CA 94536-4755
Phone (510) 793-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041007000399 CA Practitioner - Optometry 3870552664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stella Levin, O.D. a Professional CorporationGroup PAC ID 9436415924, 4 clinicians

Practice addresses (Care Compare)

38069 Martha Ave
Suite 200
Fremont, CA 94536-3815
Phone (510) 791-5272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12429TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Levin, O.D. a Professional Corporation Optometrist CurrentSince Jan 2, 2018 Accepting new patients

Locations

38069 Martha Ave
Ste 200
Fremont, CA 94536
Phone (510) 791-5272

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, 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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1235197138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36167 PERKINS ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364755",
            "telephone_number": "510-793-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2687 CASTRO VALLEY BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465409",
            "telephone_number": "510-538-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12429T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.