Individual
DR. PAUL E LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
30 TURNPIKE RD, SUITE 7, SOUTHBOROUGH, MA 01772-2114
(508) 481-8558
(508) 848-3057
Mailing address
30 TURNPIKE RD, SUITE 7, SOUTHBOROUGH, MA 01772-2114
(508) 481-8558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4028
MA
152WC0802X
Corneal and Contact Management Optometrist
4028
MA
152WL0500X
Low Vision Rehabilitation Optometrist
4028
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700347
—
MA
Enumeration date
03/27/2006
Last updated
06/18/2014
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