Individual provider Active NPI

Elina Dorfman-Levy, O.D

  • Optometrist
  • Media, PA
National Provider Identifier
1811348121
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003193 Issued in PA
Practice address
2 W Baltimore Ave
Media, PA 19063-3740
Phone
(610) 874-5261
Fax
(610) 874-0318
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003193 PA Primary

Addresses

Primary practice location

2 W Baltimore Ave
Media, PA 19063-3740

Mailing address

30 Medical Center Blvd Ste 104
Chester, PA 19013-3955
Phone (610) 874-5261

Other names 1

  • Elina Dorfman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010001251 PA Practitioner - Optometry 5890083711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Surgical Associates IncGroup PAC ID 7214907054, 5 clinicians

Practice addresses (Care Compare)

30 Medical Ctr Blvd
Suite 104
Chester, PA 19013-3955
Phone (610) 874-5261

Merit-based Incentive Payment System (MIPS)

Final score
69.51 of 100Reported as group
Quality
45.76
Improvement activities
40
Cost
70.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003193PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Surgical Associates Inc Optometrist CurrentSince Oct 15, 2021 Accepting new patients
Drexel University Current Accepting new patients
Drexel University CurrentSince Jul 1, 2017 Accepting new patients
Drexel University CurrentSince Jul 1, 2017 Accepting new patients

Locations

30 Medical Center Blvd
Ste 104
Chester, PA 19013
Phone (610) 619-8590

300 Evergreen Dr
Ste 100
Glen Mills, PA 19342

2 W Baltimore Ave
Media, PA 19063
Phone (484) 227-0900

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

Interoperability endpoints

  • Direct secure messaging: elina.dorfmanlevyod.p1@direct.ophthalmicsurgical.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1811348121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD STE 104",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133955",
            "telephone_number": "610-874-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W BALTIMORE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633740",
            "telephone_number": "610-874-5261",
            "fax_number": "610-874-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN-LEVY",
        "first_name": "ELINA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELINA",
            "last_name": "DORFMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.