ALEXANDRA LEVASHVILI O.D.
NPI 1174909923
Optometrist in Surprise, AZ

Q: What is Alexandra Levashvili's NPI number?

The NPI number for Alexandra Levashvili is 1174909923. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Q: What is Alexandra Levashvili's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment

12647 W SMOKEY DR STE 116, SURPRISE, AZ 85378(623) 583-0377(623) 583-0377 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alexandra Levashvili O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA LEVASHVILI O.D. (NPI 1174909923) is an individual optometrist in Surprise, Arizona, licensed in Pennsylvania (OEG002963) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174909923

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameALEXANDRA LEVASHVILICredential: O.D.

Location Address12647 W SMOKEY DR STE 116Surprise, AZ 85378-3799

Mailing Address12647 W Smokey Dr Ste 116Surprise, AZ 85378-3799 · (623) 583-0377 · Fax (623) 583-0377

Phone(623) 583-0377

Fax(623) 583-0377

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 4, 2015

Last NPPES UpdateAugust 17, 2026

NPPES CertifiedAugust 17, 2026

✔ NPI 1174909923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in PA · OEG002963

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

12647 W SMOKEY DR STE 116, Surprise, AZ 85378

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Levashvili O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810204385

PECOS Enrollment IDI20150916000070, I20260319001990

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Alexandra Levashvili reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Keen Eye Center LLC

0.1 mi

Optometrist

12801 W BELL RD STE 139
Surprise, AZ 85378

Reassigned Medicare billing, Arizona enrollment
2 clinicians in this Medicare group

NPI 1447035688 (623) 583-0377

Visionworks, Inc.

1,843 mi

Optometrist

560 MILLCREEK MALL
Erie, PA 16565

Reassigned Medicare billing, Pennsylvania enrollment
191 clinicians in this Medicare group

NPI 1063579837 (814) 868-8540

Tus Ojos Inc

2,093 mi

Optometrist

100 E LEHIGH AVENUE, STE 201 MEDICAL ARTS BUILDING
Philadelphia, PA 19125

Reassigned Medicare billing, Pennsylvania enrollment
9 clinicians in this Medicare group

NPI 1831291814 (215) 707-0450

Jason D Munitz Od LLC

2,101 mi

Optometrist

295 BUCK RD, SUITE 316
Holland, PA 18966

Reassigned Medicare billing, Pennsylvania enrollment
3 clinicians in this Medicare group

NPI 1366640450 (215) 953-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85378 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Levashvili's NPI number?

The NPI number for Alexandra Levashvili is 1174909923. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Alexandra Levashvili located?

Alexandra Levashvili practices at 12647 W Smokey Dr Ste 116, Surprise, AZ 85378. The listed phone number is (623) 583-0377.

What is Alexandra Levashvili's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Alexandra Levashvili enrolled in Medicare?

Yes. Alexandra Levashvili is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alexandra Levashvili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Levashvili reassigns Medicare benefits to 4 organizations: Keen Eye Center LLC (Surprise, AZ), Visionworks, Inc. (Erie, PA), Tus Ojos Inc (Philadelphia, PA) and Jason D Munitz Od LLC (Holland, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Levashvili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Levashvili accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Alexandra Levashvili as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Levashvili was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.