Individual
DAVID LEVIN HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
920 REVOLUTION ST, HARRE DE GRACE, MD 21078
(410) 939-2200
(410) 939-5980
Mailing address
1950 OLD GALLOWS RD 520, VIENNA, VA 22182-3970
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0793
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410022555
MEDICARE RAILROAD
—
Enumeration date
03/01/2006
Last updated
08/10/2015
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