Robert B Levine OD a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

6727 Issued in CA

Legal business name

ROBERT B LEVINE OD A PROFESSIONAL OPTOMETRIC CORPORATION

Doing business as

Marin Optometric Gorup

Practice address

1001 Grand Ave
San Rafael, CA 94901-3416

Phone

(415) 453-3812

Fax

(415) 453-6712

NPI assigned

May 4, 2009

Organization subpart

No

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

Authorized official

Name

Robert B. Levine, OD

Title

Owner

Phone

(415) 453-3812

Specialties & licenses 1

Addresses

Other names 1

• Marin Optometric Gorup Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Cheung, O.D.

  • Optometrist
  • San Francisco, CA
  • NPI 1306213160
  NPD
• Darwin C Tsang, O.D.

  • Optometrist
  • Petaluma, CA
  • NPI 1619344918
  NPD

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1457585580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GRAND AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013416",
            "telephone_number": "415-453-3812",
            "fax_number": "415-453-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GRAND AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013416",
            "telephone_number": "415-453-3812",
            "fax_number": "415-453-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B LEVINE OD A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-453-3812",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin Optometric Gorup",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elli M Rivera
• Terry Jo Rivera
• Ann Dale Rivo
• Joan Campbell Roane, MFT
• Lisa Marie Robechek, M.DIV.
• Roberta Seifert PHD a Psychological Corporation
• Jenene Marie Roberto
• Alicia Roberts
• Eric Scott Roberts, BA
• Miles Roberts

• Optometrist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.