Individual provider Active NPI

Steven R Levy, OD

  • Optometrist
  • Oakland Gardens, NY
National Provider Identifier
1891791018
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT4679 Issued in NY
Practice address
21411A 73Rd Ave
Oakland Gardens, NY 11364-2947
Phone
(718) 225-5533
Fax
(718) 225-5803
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT4679 NY Primary
Basic Emergency Medical Technician 146N00000X 320607 NY

Addresses

Primary practice location

21411A 73Rd Ave
Oakland Gardens, NY 11364-2947

Mailing address

21411A 73Rd Ave
Oakland Gardens, NY 11364-2947
Phone (718) 225-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040408001624 NY Practitioner - Optometry 3678567070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21411 73Rd Ave
Oakland Gardens, NY 11364-2947
Phone (718) 225-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
320607NYMDBasic Emergency Medical Technician
VUT4679NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Park Vision Center, LTD CurrentSince Aug 1, 1998 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Dec 28, 2011 Accepting new patients
State of New York Comptrollers Office CurrentSince Dec 28, 2011 Accepting new patients
Eyeland Vision Center Inc. Optometrist Past Accepting new patients

Locations

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

21411 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 225-5533

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1891791018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21411A 73RD AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642947",
            "telephone_number": "718-225-5533",
            "fax_number": "718-225-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21411A 73RD AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642947",
            "telephone_number": "718-225-5533",
            "fax_number": "718-225-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT4679",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NY",
            "license": "320607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

Verify at the official NPI Registry.