Individual provider Active NPI

Keith Levinson

  • Optometrist
  • Montville, NJ
National Provider Identifier
1417357575
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00656400 Issued in NJ
Practice address
150 River Rd Ste M2
Montville, NJ 07045-8941
Phone
(973) 263-8000
NPI assigned
Aug 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00656400 NJ Primary

Addresses

Primary practice location

150 River Rd Ste M2
Montville, NJ 07045-8941

Mailing address

150 River Rd Ste M2
Montville, NJ 07045-8941
Phone (973) 263-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20141126000176 NJ Practitioner - Optometry 9335461508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 River Rd
Suite M2
Montville, NJ 07045-8941
Phone (973) 263-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00656400NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Levinson Eye Care Center LLC Optometrist CurrentSince Nov 24, 2020 Accepting new patients

Locations

150 River Rd
Ste M2
Montville, NJ 07045
Phone (973) 263-8000

Organizations & group practices 1

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1417357575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVER RD STE M2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458941",
            "telephone_number": "973-263-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVER RD STE M2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458941",
            "telephone_number": "973-263-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00656400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.