Individual provider Active NPI

Glenn S Levin, O.D.

  • Optometrist
  • Hatboro, PA
National Provider Identifier
1376536938
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000902 Issued in PA
Practice address
345 North York Rd
Hatboro, PA 19040-2095
Phone
(215) 672-9030
Fax
(215) 672-8099
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000902 PA Primary

Addresses

Primary practice location

345 North York Rd
Hatboro, PA 19040-2095

Mailing address

345 North York Rd
Hatboro, PA 19040-2095
Phone (215) 672-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20061107000109 PA Practitioner - Optometry 0941207880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

345 N York Rd
Suite 2
Hatboro, PA 19040-2045
Phone (215) 672-9030

Merit-based Incentive Payment System (MIPS)

Final score
81.8 of 100Reported as group
Quality
93.24
Improvement activities
40
Cost
48.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Armstrong Colt Ophthalmology,P.C. Optometrist CurrentSince Nov 1, 2012 Accepting new patients
Armstrong Colt Ophthalmology PC CurrentSince Nov 1, 2012 Accepting new patients

Locations

1550 Old York Rd
Abington, PA 19001
Phone (215) 657-5255

345 N York Rd
Hatboro, PA 19040
Phone (215) 672-9030

345 N York Rd
Ste 2
Hatboro, PA 19040
Phone (215) 672-9030

Interoperability endpoints

  • Direct secure messaging: glevin@acg.ecldirect.net

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1376536938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 NORTH YORK RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402095",
            "telephone_number": "215-672-9030",
            "fax_number": "215-672-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 NORTH YORK RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402095",
            "telephone_number": "215-672-9030",
            "fax_number": "215-672-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "GLENN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, PA

Sources for this page

Verify at the official NPI Registry.