Michael Bruce Levinson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV003111 Issued in NY

Practice address

1146 Deer Park Ave
North Babylon, NY 11703

Phone

(631) 242-0808

Fax

(631) 274-3683

NPI assigned

Nov 2, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Pennsylvania College of Optometry, 1972

Medicare assignment

May accept Medicare assignment

Group practices

Sunset Eyecare PCGroup PAC ID 2163814385, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunset Eyecare PC

  • Optometrist
  • North Babylon, NY
  • NPI 1467103499
  Medicare reassignment Care Compare group NPD
• Sunsetcity Eyewear

  • Durable Medical Equipment & Medical Supplies
  • North Babylon, NY
  • NPI 1851518559
  NPD Authorized official
• Ivan Klayman OD PC

  • Optometrist
  • North Babylon, NY
  • NPI 1285935056
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1386722437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "11703",
            "telephone_number": "631-242-0808",
            "fax_number": "631-274-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "11703",
            "telephone_number": "631-242-0808",
            "fax_number": "631-274-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00396754",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane M Ledbetter
• Edmund Lee, M.D., PH.D.
• Aimee Lynn Leo, D.O.
• Salvatore A. Leo, M.D.
• Patricia Leveille
• Bohan Li, DPM
• Pierre L Licin
• Long Island Comprehensive Medical Care PLLC
• Danielle Michelle Longwell
• Ingrid Luna, PMHNP

• Optometrist in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.