Organization Active NPI

Levenson Eye Associates, Inc.

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1821213281
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME52225 Issued in FL
Legal business name
LEVENSON EYE ASSOCIATES, INC.
Practice address
751 Oak St
Suite 200
Jacksonville, FL 32204-3359
Phone
(904) 366-3781
Fax
(904) 354-3075
NPI assigned
Apr 13, 2007
Last updated
Mar 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Dr. Jeffrey Herschel Levenson, M.D.NPI 1023118379
Title
Owner
Phone
(904) 366-3781

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X ME52225 FL Primary

Addresses

Primary practice location

751 Oak St
Suite 200
Jacksonville, FL 32204-3359

Mailing address

751 Oak St
Suite 200
Jacksonville, FL 32204-3359
Phone (904) 366-3781

Other identifiers 1

IdentifierTypeStateIssuer
261362000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090612000543 FL Part B Supplier - Clinic/Group Practice 4082764089 Receives reassigned benefits from 10 practitioners
Practice locations: Jacksonville, FL; Orange Park, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2110096Levenson Eye Associates751 Oak St Ste 200, Jacksonville, FL 32204Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Locations

2535 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-6548

751 Oak St
Jacksonville, FL 32204
Phone (904) 318-8342

751 Oak St
Ste 200
Jacksonville, FL 32204
Phone (904) 366-3781

905 Park Ave
Ste 104
Orange Park, FL 32073
Phone (904) 366-3781

120 A1A N
Ste 102
Ponte Vedra Beach, FL 32082

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1821213281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 OAK ST",
            "address_2": "SUITE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043359",
            "telephone_number": "904-366-3781",
            "fax_number": "904-354-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 OAK ST",
            "address_2": "SUITE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043359",
            "telephone_number": "904-366-3781",
            "fax_number": "904-354-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVENSON EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "LEVENSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HERSCHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-366-3781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME52225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261362000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.