Jacquelyn Daubert Levy, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME138922 Issued in FL

Practice address

499 NW 70TH Ave Ste 100
Plantation, FL 33317-7572

Phone

(954) 792-6411

Fax

(954) 792-6411

NPI assigned

Mar 25, 2015

Last updated

May 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Ophthalmology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Plantation IncGroup PAC ID 4082709316, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10550/brand/1/csg/1/fhir/r4
• Direct secure messaging: jacquelyn.daubertlevy.p3@direct.drea.nextgenshare.com

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.

• Eye Associates of Plantation Inc

  • Ophthalmology Physician
  • Plantation, FL
  • NPI 1942265368
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Surgery Associates LLC

  • Specialist
  • Hollywood, FL
  • NPI 1861589343
  Medicare reassignment NPD
• Premier Florida Vision LLC

  • Ophthalmology Physician
  • Plantation, FL
  • NPI 1205675758
  Authorized official Same address or phone
• Eye Surgery Associates LLC

  • Ophthalmology Physician
  • Hollywood, FL
  • NPI 1396382719
  NPD
• Eye Surgery Assocites LLC

  • Specialist
  • Weston, FL
  • NPI 1538366901
  NPD
• Hallandale Outpatient Surgical Center,LTD

  • Ambulatory Surgical Clinic/Center
  • Hallandale Beach, FL
  • NPI 1659443042
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1730573049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177572",
            "telephone_number": "954-792-6411",
            "fax_number": "954-792-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 NW 70TH AVE STE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333177572",
            "telephone_number": "954-792-6411",
            "fax_number": "954-792-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_2": "Department of Ophthalmology",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-5658",
            "fax_number": "202-877-7743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Park Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218353",
            "country_code": "US",
            "telephone_number": "954-925-2740",
            "fax_number": "954-923-8379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JACQUELYN",
        "middle_name": "DAUBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MTL003572",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME138922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105434300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Levasseur, LMHC
• Marcus Leveque
• Leanna Levin, LMHC, CRC
• Michael Levine, D.C.
• Danielle Levy, PSY.D
• Mitchell Levy, M.D.
• Sarah Leah Levy, DMD
• Yvette Levy, M.D
• Charlene Amanda Lew, FNP-C
• Andrea Lewis-McKenzie, DMD

• Ophthalmology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.