Sheri Lyn Levack, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003730A Issued in IN

Practice address

1251 US 31 N
Space 130
Greenwood, IN 46142-4503

Phone

(317) 887-2732

Fax

(317) 887-1553

NPI assigned

Jun 11, 2012

Last updated

Oct 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1558623108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 HOUSTON AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682011",
            "telephone_number": "219-384-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 US 31 N",
            "address_2": "SPACE 130",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424503",
            "telephone_number": "317-887-2732",
            "fax_number": "317-887-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVACK",
        "first_name": "SHERI",
        "middle_name": "LYN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003730A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.