Individual
DR. ROBERT I LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12244B W BROAD ST, SUITE 128, RICHMOND, VA 23233-1062
(804) 360-0135
Mailing address
5825 DORTON LN, GLEN ALLEN, VA 23060-3441
(804) 270-7303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000082
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268736
ANTHEM BC/BS
VA
01
—
P00432899
RAILROAD MEDICARE
VA
Enumeration date
06/14/2006
Last updated
08/31/2016
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