Individual provider Active NPI

James B Levinson, O.D.

  • Optometrist
  • Dolton, IL
National Provider Identifier
1376501767
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-0074685 Issued in IL
Practice address
14223 Chicago Rd
Dolton, IL 60419-1203
Phone
(708) 849-0690
Fax
(708) 849-0344
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-0074685 IL Primary

Addresses

Primary practice location

14223 Chicago Rd
Dolton, IL 60419-1203

Mailing address

14223 Chicago Rd
Dolton, IL 60419-1203
Phone (708) 849-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071101000723 IL Practitioner - Optometry 6406943737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14223 Chicago Rd
Dolton, IL 60419-1203

14223 Martin Luther King Jr Dr
Dolton, IL 60419-1203
Phone (708) 849-0690

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-0074685ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dolton Optometric Center, P.C. Optometrist CurrentSince Jan 1, 1990 Accepting new patients
Fisher-Swale-Nicholson Eye Center SC Optometrist Past Accepting new patients

Locations

14223 Martin Luther King Jr Dr
Dolton, IL 60419
Phone (708) 849-0690

Organizations & group practices 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1376501767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14223 CHICAGO RD",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191203",
            "telephone_number": "708-849-0690",
            "fax_number": "708-849-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14223 CHICAGO RD",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191203",
            "telephone_number": "708-849-0690",
            "fax_number": "708-849-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-0074685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolton, IL

Sources for this page

Verify at the official NPI Registry.