Individual provider Active NPI

Michelle Fran Levy, O.D.

  • Optometrist
  • Pasadena, MD
National Provider Identifier
1235224080
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1062 Issued in MD
Practice address
2446 Mountain Rd
Pasadena, MD 21122-1298
Phone
(410) 255-8056
Fax
(410) 360-8689
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1062 MD Primary

Addresses

Primary practice location

2446 Mountain Rd
Pasadena, MD 21122-1298

Mailing address

2446 Mountain Rd
Pasadena, MD 21122-1298
Phone (410) 255-8056

Other identifiers 1

IdentifierTypeStateIssuer
800368800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110104000859 MD Practitioner - Optometry 3476742610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woolf LLCGroup PAC ID 0345480273, 3 clinicians

Practice addresses (Care Compare)

2446 Mountain Rd
Pasadena, MD 21122-1298
Phone (410) 255-8056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1062MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Woolf, LLC Optometrist CurrentSince Jul 1, 2013 Accepting new patients

Locations

2446 Mountain Rd
Pasadena, MD 21122
Phone (410) 255-8056

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1235224080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 MOUNTAIN RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221298",
            "telephone_number": "410-255-8056",
            "fax_number": "410-360-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 MOUNTAIN RD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221298",
            "telephone_number": "410-255-8056",
            "fax_number": "410-360-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "MICHELLE",
        "middle_name": "FRAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800368800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.