Individual
DR. DARRYL I LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2139 COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(215) 745-1444
(215) 745-1448
Mailing address
2139 COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(215) 745-1444
(215) 745-1448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000266
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000266
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00640312
—
PA
01
—
2193348000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
06/06/2006
Last updated
02/23/2012
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