Individual provider Active NPI

Michele Levy, OD

  • Corneal and Contact Management Optometrist
  • Westerly, RI
National Provider Identifier
1265575989
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
CODTG00734 Issued in RI
Practice address
55 Beach St
Westerly, RI 02891-2770
Phone
(401) 315-0002
Fax
(401) 388-8395
NPI assigned
Feb 14, 2007
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X CODTG00734 RI
Pediatric Optometrist 152WP0200X CODTG00734 RI
Occupational Vision Optometrist 152WX0102X CODTG00734 RI
Corneal and Contact Management Optometrist 152WC0802X CODTG00734 RI Primary
Optometrist 152W00000X CT2257 CT
Optometrist 152W00000X CODTG00734 RI

Addresses

Primary practice location

55 Beach St
Westerly, RI 02891-2770

Mailing address

55 Beach St
Westerly, RI 02891-2770
Phone (401) 315-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120518000314 CT Practitioner - Optometry 5799948329 Reassigns benefits to 1 organization
I20230719000492 RI Practitioner - Optometry 5799948329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Beach St
Westerly, RI 02891-2770
Phone (401) 315-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004432NYMDMental Health Counselor
CT2257CTMDOptometrist
CODTG00734RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michele Levy P.C. Optometrist CurrentSince Jan 1, 2003 Accepting new patients

Locations

2 Lafayette Ct
Ste 2
Greenwich, CT 06830
Phone (203) 661-4555

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1265575989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912770",
            "telephone_number": "401-315-0002",
            "fax_number": "401-388-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912770",
            "telephone_number": "401-315-0002",
            "fax_number": "401-388-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "RI",
            "license": "CODTG00734",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "RI",
            "license": "CODTG00734",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "RI",
            "license": "CODTG00734",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "RI",
            "license": "CODTG00734",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT2257",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "CODTG00734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.