Organization
CHRISTINA J. LEVI O D P C
Active
Parent organization
CHRISTINA J. LEVI O D P C
Other names
Edwardsville Vision Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTINA J. LEVI O D P C
Authorized official
CHRISTINA J. LEVI OD (PRESIDENT)
(618) 462-9818
Entity
Organization
Contact information
Practice address
2100 TROY RD STE 104, EDWARDSVILLE, IL 62025-2595
(618) 656-8888
(314) 741-4947
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29111
SPECTERA
—
Enumeration date
01/18/2007
Last updated
02/21/2024
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