Individual provider Active NPI

Sander Mark Levine, OD

  • Optometrist
  • Forest Hills, NY
National Provider Identifier
1952489429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT4151 Issued in NY
Practice address
7119 Austin St
Forest Hills, NY 11375-4720
Phone
(718) 268-7709
Fax
(718) 268-7739
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT4151 NY Primary

Addresses

Primary practice location

7119 Austin St
Forest Hills, NY 11375-4720

Mailing address

7119 Austin St
Forest Hills, NY 11375-4720
Phone (718) 268-7709

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
I20060216000071 NY Practitioner - Optometry 3375558018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1982
Medicare assignment
May accept Medicare assignment
Group practices
State of New York Comptrollers OfficeGroup PAC ID 0840101770, 171 clinicians

Practice addresses (Care Compare)

33 W 42ND St
New York, NY 10036-8005
Phone (212) 938-4001

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
73.89
Promoting interoperability
89
Improvement activities
40
Cost
75.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004151NYMDMental Health Counselor
VUT4151NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jan 1, 2007 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jan 1, 2007 Accepting new patients

Locations

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

University Eye Ctr
New York, NY 10087

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

Interoperability endpoints

  • Direct secure messaging: sander.levine.p1@direct.ezramedical.nextgenshare.com
  • Direct secure messaging: sander.levine.p1@direct.opt.nextgenshare.com

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952489429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754720",
            "telephone_number": "718-268-7709",
            "fax_number": "718-268-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754720",
            "telephone_number": "718-268-7709",
            "fax_number": "718-268-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "SANDER",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.