Mark Roger Levine, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35-02-9064-L Issued in OH

Practice address

1611 S Green Rd
Suite 306a
South Euclid, OH 44121-4128

Phone

(219) 291-9770

Fax

(216) 297-0550

NPI assigned

May 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Ohio Eye Consultants Inc

  dba Cleveland Eye Clinic

  • Ophthalmology Physician
  • Cleveland, OH
  • NPI 1386752558
  Medicare reassignment NPD
• Ophthalmic Consultants and Surgeons of Cleveland, Inc.

  • Ophthalmology Physician
  • South Euclid, OH
  • NPI 1033122049
  Medicare reassignment NPD
• Northern Ohio Eye Consultants Inc

  • Optometrist
  • Lorain, OH
  • NPI 1629057716

  Ophthalmology

  NPD
• Akron Pediatric Ophthalmology and Ophthalmic Plastic Surgery, Inc

  • Specialist
  • Akron, OH
  • NPI 1710062013
  NPD (past)
• Summit Anesthesia Group, Inc.

  • Certified Registered Nurse Anesthetist
  • Akron, OH
  • NPI 1255526240
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679531628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD",
            "address_2": "SUITE 306A",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214128",
            "telephone_number": "219-291-9770",
            "fax_number": "216-297-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD",
            "address_2": "SUITE 306A",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214128",
            "telephone_number": "219-291-9770",
            "fax_number": "216-297-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "MARK",
        "middle_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-02-9064-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedrick Lee
• Erica Delores Lee
• Gabrielle Nichole Legge, CDCA
• Jacqueline Lemus
• James Thomas Leslie, M.D.
• Daisy Lewis
• Darlene M Lewis, LPN
• Flornaila Mary Lewis, LPN
• Lexx Slays2 Beauty Salon LLC
• Karen R Lisbon, RN, BSN, IBCLC

• Ophthalmology Physician in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.