Individual provider Active NPI

Nikita Levy Jr., O.D.

  • Optometrist
  • Dover, DE
National Provider Identifier
1942669957
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14-0000082 Issued in DE
Practice address
833 S Governors Ave
Dover, DE 19904-4158
Phone
(302) 674-1121
Fax
(302) 674-3891
NPI assigned
Feb 18, 2016
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14-0000082 DE Primary

Addresses

Primary practice location

833 S Governors Ave
Dover, DE 19904-4158

Mailing address

833 S Governors Ave
Dover, DE 19904-4158
Phone (302) 674-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20170714002186 DE Practitioner - Optometry 4284904855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Eye Care Center PAGroup PAC ID 6002868767, 19 clinicians
Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

100 S Main St
217 Smyrna Office
Smyrna, DE 19977-1479
Phone (302) 653-9200

912 N Union St
Wilmington, DE 19805-5326
Phone (302) 239-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14-0000082DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Eye Associates PA Optometrist CurrentSince Jan 1, 2018 Accepting new patients
Delaware Eye Care Center PA Optometrist PastSince Aug 1, 2025 Accepting new patients
Eye Associates of Bucks County PastSince Sep 10, 2012 Accepting new patients

Locations

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nikita.levy.p1@direct.delewareeyecare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1942669957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-674-1121",
            "fax_number": "302-674-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-674-1121",
            "fax_number": "302-674-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "NIKITA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-18",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "14-0000082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.