Individual
DR. LARRY MARTIN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
501 NEW RD, GROVELAND CENTER, SOMERS POINT, NJ 08244-2064
(609) 927-4526
Mailing address
501 NEW RD, GROVELAND CENTER, SOMERS POINT, NJ 08244-2064
(609) 927-4526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00388800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089709000
AMERIHEALTH
NJ
01
—
1086683
HORISON N.J. HEALTH
NJ
01
—
19532
AMERIGROUP
NJ
05
—
1956604
—
NJ
01
—
30207
GROUP VISION ASSOCIATES
NJ
01
—
31685
DAVIS VISION
NJ
01
—
463860
AETNA
NJ
01
—
NJ3888
EYE MED
NJ
Enumeration date
02/22/2007
Last updated
07/09/2007
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