Individual provider Active NPI

Richard K. Levin, O.D.

  • Optometrist
  • Nottingham, MD
National Provider Identifier
1376584375
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1863 Issued in MD
Practice address
4313 Ebenezer Rd
Nottingham, MD 21236-2143
Phone
(410) 529-1950
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1863 MD Primary

Addresses

Primary practice location

4313 Ebenezer Rd
Nottingham, MD 21236-2143

Mailing address

4313 Ebenezer Rd
Nottingham, MD 21236
Phone (415) 529-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040702000835 MD Practitioner - Optometry 8921085325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Maryland LLCGroup PAC ID 1850491994, 22 clinicians

Practice addresses (Care Compare)

1748 Merritt Blvd
Dundalk, MD 21222-3212
Phone (443) 530-6381

223 Brierhill Dr
Bel Air, MD 21015-4948
Phone (410) 486-1010

3755 Old Court Rd E
Levin Eye Care
Pikesville, MD 21208-3918
Phone (410) 486-1010

4313 Ebenezer Rd
Nottingham, MD 21236-2143

4830 Butler Rd
Glyndon, MD 21071-4209
Phone (410) 486-1010

517 E Belvedere Ave
Levin Eye Care
Baltimore, MD 21212-3745
Phone (410) 486-1010

8109 Harford Rd
Suite G
Parkville, MD 21234-9205
Phone (410) 486-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1863MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of MD, LLC Optometrist CurrentSince Jul 19, 2007 Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients

Locations

517 E Belvedere Ave
Baltimore, MD 21212
Phone (410) 323-1515

4313 Ebenezer Rd
Nottingham, MD 21236
Phone (410) 529-1950

8109 Harford Rd
Ste G
Parkville, MD 21234

920 Providence Rd
Ste 100
Towson, MD 21286
Phone (443) 394-8679

Interoperability endpoints

  • Direct secure messaging: richard.levin.p1@direct.levineyecare.nextgenshare.com

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1376584375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "415-529-1950",
            "fax_number": "410-529-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-529-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "RICHARD",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.