Eric Scott Levine, M.D., PH.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G83283 Issued in CA

Practice address

2045 Royal Ave
Suite 221
Simi Valley, CA 93065-4665

Phone

(805) 581-3040

Fax

(805) 581-1943

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Dignity Health

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360

  Ophthalmology

  NPD (past)
• Prime Healthcare Services - Montclair, LLC

  • General Acute Care Hospital
  • Montclair, CA
  • NPI 1992721161
  NPD (past)
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  NPD (past)
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1962525667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ROYAL AVE",
            "address_2": "SUITE 221",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654665",
            "telephone_number": "805-581-3040",
            "fax_number": "805-581-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ROYAL AVE",
            "address_2": "SUITE 221",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654665",
            "telephone_number": "805-581-3040",
            "fax_number": "805-581-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G832831",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Kyle Lentini
• Alicia Lerma
• Melinda Lesley
• Leung, Marsden, and Wald, a Professional Optometric Corporation
• Delisa Lee Levine
• Paula Levy, D.D.S.
• Nicole Leznik
• Catherine Li
• Janet T Li, D.O.
• Yuhan Li

• Ophthalmology Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.

Verify at the official NPI Registry.