Matthew Levernosh

Primary specialty

OptometristTaxonomy code 152W00000X

License

3439-35 Issued in WI

Practice address

1601 Brenner Ave
Building 3, Floor 2, Eye Clinic
Salisbury, NC 28144-2515

Phone

(704) 638-9000

NPI assigned

Aug 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• W.G. (Bill) Hefner VA Medical Center

  • General Acute Care Hospital
  • Salisbury, NC
  • NPI 1134677461
  NPD (past)

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1992259121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BRENNER AVE",
            "address_2": "BUILDING 3, FLOOR 2, EYE CLINIC",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRENNER AVE",
            "address_2": "BUILDING 3, FLOOR 2, EYE CLINIC",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442515",
            "telephone_number": "704-638-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERNOSH",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3439-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Lennox, B.S. P.T.
• Laura Lentz
• John Leonard
• Katelyn Elizabeth Leonard, BCBA
• Brett Ryan Leslie, DMD
• John William Levis, P.A.-C
• Randall Lewallen
• Crystal Lewis, LCAS-; LPC
• Rae Trammel Lewis, LPC
• Lexmedical, Inc

• Optometrist in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.