Individual provider Active NPI

Robert Dean Levy, O.D.

  • Optometrist
  • Burlington, NJ
National Provider Identifier
1861495517
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5264 Issued in NJ
Practice address
4423 Route 130 S
Burlington, NJ 08016-2385
Phone
(609) 386-0202
Fax
(609) 386-5927
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5264 NJ Primary

Addresses

Primary practice location

4423 Route 130 S
Burlington, NJ 08016-2385

Mailing address

4423 Route 130 S
Burlington, NJ 08016-2385
Phone (609) 386-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050808000233 NJ Practitioner - Optometry 6901835206 Reassigns benefits to 2 organizations
I20101108000552 PA Practitioner - Optometry 6901835206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Richboro PCGroup PAC ID 0143346288, 6 clinicians
Optic One IncGroup PAC ID 5799140554, 3 clinicians
Robert D. Levy PCGroup PAC ID 2466445432, 8 clinicians

Practice addresses (Care Compare)

1120 N York Rd
Willow Grove, PA 19090-1334
Phone (215) 830-0433

2401 Route 130 S
Cinnaminson, NJ 08077-3020
Phone (856) 786-1616

4423 Route 130 S
Dr's Eyecare
Burlington, NJ 08016-2385
Phone (609) 386-0202

Merit-based Incentive Payment System (MIPS)

Final score
15.51 of 100Reported as individual
Quality
25
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5264NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. Levy PC Optometrist CurrentSince Jan 1, 1970 Accepting new patients
Optic One Inc Optometrist CurrentSince Apr 1, 2023 Accepting new patients

Locations

4423 Route 130 S
Burlington, NJ 08016
Phone (609) 386-0202

2401 Route 130 S
Cinnaminson, NJ 08077
Phone (856) 786-1616

Organizations & group practices 3

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1861495517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 ROUTE 130 S",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162385",
            "telephone_number": "609-386-0202",
            "fax_number": "609-386-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 ROUTE 130 S",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162385",
            "telephone_number": "609-386-0202",
            "fax_number": "609-386-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.