Individual provider Active NPI

Gregory David Lewen, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Aventura, FL
National Provider Identifier
1962522250
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
ME108618 Issued in FL
Practice address
20803 Biscayne Blvd
Suite 110
Aventura, FL 33180-1429
Phone
(305) 514-0631
Fax
(305) 514-0641
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 063682 GA
Ophthalmology Physician 207W00000X M8124 TX
Ophthalmology Physician 207W00000X ME 108618 FL
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME108618 FL Primary

Addresses

Primary practice location

20803 Biscayne Blvd
Suite 110
Aventura, FL 33180-1429

Mailing address

20803 Biscayne Blvd
Suite 110
Aventura, FL 33180-1429
Phone (305) 514-0631

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address glewen@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000563 FL Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 9335281708

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 108618FLMDOphthalmology Physician
063682GAMDOphthalmology Physician
M8124TXMDOphthalmology Physician
ME108618FLMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory D. Lewen, M.D., P.L.L.C. Ophthalmic Plastic and Reconstructive Surgery CurrentSince Feb 28, 2012 Accepting new patients
Jonathan Woolfson, MD, PC Ophthalmology Past Accepting new patients
Weston Laser & Vision Institute, Inc Ophthalmology PastSince Apr 1, 2001 Accepting new patients

Locations

20803 Biscayne Blvd
Ste 110
Miami, FL 33180
Phone (305) 514-0631

Interoperability endpoints

  • Direct secure messaging: glewen@directaddress.net

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1962522250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20803 BISCAYNE BLVD",
            "address_2": "SUITE 110",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801429",
            "telephone_number": "305-514-0631",
            "fax_number": "305-514-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20803 BISCAYNE BLVD",
            "address_2": "SUITE 110",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801429",
            "telephone_number": "305-514-0631",
            "fax_number": "305-514-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWEN",
        "first_name": "GREGORY",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "063682",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M8124",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 108618",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME108618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glewen@directaddress.net",
            "affiliation": "N",
            "address_1": "20803 Biscayne Blvd",
            "address_2": "Suite 110",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331801429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.