Dale G Lervick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

777 Issued in CO

Practice address

7586 W Jewell Ave
Suite 104
Lakewood, CO 80232-6890

Phone

(303) 233-7575

Fax

(303) 233-4740

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Park Vision Center PCGroup PAC ID 3476504168, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fa0f517f-db34-4a7a-98d2-758b513b2168/

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.

• North Park Vision Center, P.C.

  • Health Maintenance Organization
  • Westminster, CO
  • NPI 1346326626
  Medicare reassignment Care Compare group NPD
• Eye Care Associates of Co LLC

  • Optometrist
  • Centennial, CO
  • NPI 1124674049
  Medicare reassignment NPD
• Eye Care Associates of Co LLC

  • Optometrist
  • Creston, IA
  • NPI 1548023518
  NPD
• Peak Vision

  • Optometrist
  • Dillon, CO
  • NPI 1215392527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1326047077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7586 W JEWELL AVE",
            "address_2": "SUITE 104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326890",
            "telephone_number": "303-233-7575",
            "fax_number": "303-233-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7586 W JEWELL AVE",
            "address_2": "SUITE 104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326890",
            "telephone_number": "303-233-7575",
            "fax_number": "303-233-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERVICK",
        "first_name": "DALE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08007775",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "32959",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa J Leonard, PA
• Sophia Kirshner Lepert, M.S. CF-SLP
• Xiaomeng Lepore
• Michael Lerman, RBT
• Catherine Elizabeth Leroy, AU.D.
• Charlotte Lynn Lesage, COMS
• Geena Lesiak, COTA/L
• Zoran Lesic, M.D.
• Leslie S Harrington MD PC
• Ashlee Nicole Leslie

• Optometrist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.