Organization
LEVIN EYE CARE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELICA CARRILLO (OFFICE MANAGER)
(219) 659-3050
Entity
Organization
Contact information
Practice address
1334 119TH ST., WHITING, IN 46394
(219) 659-3050
(219) 659-3053
Mailing address
1334 119TH ST, WHITING, IN 46394-1631
(219) 659-3050
(219) 659-3053
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
18001641
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336220458
NPI
IN
Enumeration date
12/24/2007
Last updated
01/24/2008
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