Individual provider Active NPI

Greg S. Levin, O.D.

  • Optometrist
  • Warwick, RI
National Provider Identifier
1407929169
Registry record updated Feb 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00497 Issued in RI
Practice address
404 Toll Gate Rd
Warwick, RI 02886-4317
Phone
(401) 737-2200
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00497 RI Primary
Optometrist 152W00000X 3729 MA

Addresses

Primary practice location

404 Toll Gate Rd
Warwick, RI 02886-4317

Mailing address

404 Toll Gate Rd
Warwick, RI 02886-4317
Phone (401) 737-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20100811000197 RI Practitioner - Optometry 5991839177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles C Calenda MD IncGroup PAC ID 7517056252, 2 clinicians

Practice addresses (Care Compare)

404 Toll Gate Rd
Warwick, RI 02886-4317
Phone (401) 737-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3729MAMDRegistered Dietitian
ODTG00497RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles C Calenda MD Inc CurrentSince May 23, 2003 Accepting new patients
Providence Eye Associates, Inc. Optometrist CurrentSince Nov 1, 1997 Accepting new patients

Locations

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

404 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-2200

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488067200000",
    "number": "1407929169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864317",
            "telephone_number": "401-737-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864317",
            "telephone_number": "401-737-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "GREG",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00497",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.