Individual
DR. RONALD S LEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
420 BUCKLAND HILLS DR, MANCHESTER, CT 06040
(860) 644-1203
Mailing address
4 PLUMROSE CT, PORTLAND, CT 06480
(860) 342-4949
(860) 342-4949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
692
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090000692CT04
ANTHEM BLUE CROSS
—
01
—
090000692CT05
ANTHEM MANCHESTER
—
01
—
2200815
UNITED HC
—
01
—
2V4056
HEALTHNET
—
01
—
3667972
AETNA
—
01
—
5859283
CIGNA
—
01
—
P3551054
OXFORD
—
Enumeration date
10/12/2006
Last updated
07/08/2007
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