Active NPI
Gregory David Lewen, M.D.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Aventura, FL
National Provider Identifier
1962522250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- ME108618
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110425000563 | FL | Practitioner - Ophthalmology | 9335281708 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 108618 | FL | MD | Ophthalmology Physician |
| 063682 | GA | MD | Ophthalmology Physician |
| M8124 | TX | MD | Ophthalmology Physician |
| ME108618 | FL | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory D. Lewen, M.D., P.L.L.C. | Ophthalmic Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Jonathan Woolfson, MD, PC | Ophthalmology | Past | Accepting new patients |
| Weston Laser & Vision Institute, Inc | Ophthalmology | Past | Accepting new patients |
Locations
20803 Biscayne Blvd
Ste 110
Miami, FL 33180
Phone (305) 514-0631
Interoperability endpoints
- 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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Aventura, FL
- NPI 1508136961
-
- Ophthalmology Physician
- Weston, FL
- NPI 1568642676
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1891935599
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.