Active NPI
Bruce A Levinson, O.D.
- Optometrist
- Syracuse, NY
National Provider Identifier
1245309137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005365
- Practice address
- 2901 Court St
Syracuse, NY 13208-3217 - Phone
- (315) 455-8933
- Fax
- (315) 455-8934
- NPI assigned
- Nov 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT005365 | NY | Primary |
Addresses
Primary practice location
2901 Court St
Syracuse, NY 13208-3217
Mailing address
2901 Court St
Syracuse, NY 13208-3217
Phone (315) 455-8933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT005365 | NY | MD | Optometrist |
| 005365 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie D. Woodcock, Jr., M.D., PLLC | Current | Accepting new patients | |
| Central New York Eye Center | Past | Accepting new patients |
Locations
5100 W Taft Rd
Ste 3L
Liverpool, NY 13088
Phone (315) 452-2211
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- Liverpool, NY
- NPI 1346455508
-
- Ophthalmology Physician
- Liverpool, NY
- NPI 1386709434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245309137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 COURT ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132083217",
"telephone_number": "315-455-8933",
"fax_number": "315-455-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 COURT ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132083217",
"telephone_number": "315-455-8933",
"fax_number": "315-455-8934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINSON",
"first_name": "BRUCE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.