NPIMap

Organization Active NPI

Michelle Levin OD PA

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1568905701
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4645 Issued in FL
Legal business name
MICHELLE LEVIN OD PA
Practice address
777 E 25TH St Ste 414
Hialeah, FL 33013-3835
Phone
(305) 835-7588
NPI assigned
Nov 21, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Michelle Levin, O.D.NPI 1225318975
Title
Optometrist
Phone
(305) 835-7588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4645 FL Primary
Ophthalmology Physician 207W00000X ME46223 FL

Addresses

Primary practice location

777 E 25TH St Ste 414
Hialeah, FL 33013-3835

Mailing address

777 E 25TH St Ste 414
Hialeah, FL 33013-3835
Phone (305) 835-7588

Other practice location 1

1608 Town Center Cir Ste C
Weston, FL 33326-3639
Phone (954) 945-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170227001470 FL Part B Supplier - Clinic/Group Practice 8527342112 Receives reassigned benefits from 8 practitioners
Practice locations: Hialeah, FL; Weston, FL

National Provider Directory

National Provider Directory

Locations

1608 Town Center Blvd
Ste C
Weston, FL 33326
Phone (305) 835-7588

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1568905701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 414",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133835",
            "telephone_number": "305-835-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 414",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133835",
            "telephone_number": "305-835-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Town Center Cir Ste C",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263639",
            "country_code": "US",
            "telephone_number": "954-945-5570",
            "fax_number": "954-945-5561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHELLE LEVIN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "305-835-7588",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4645",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME46223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.