Organization
LEVINSON EYE CARE CENTER
Active
Parent organization
LEVINSON EYE CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEVINSON EYE CARE CENTER
Authorized official
DR. KEITH MICHAEL LEVINSON OD (OPTOMETRY)
(973) 263-8000
Entity
Organization
Contact information
Practice address
150 RIVER RD STE M2, MONTVILLE, NJ 07045-8941
(973) 263-8000
(973) 316-9644
Mailing address
150 RIVER RD STE M2, MONTVILLE, NJ 07045-8941
(973) 263-8000
(973) 316-9644
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OM00013501
NJ
302R00000X
Health Maintenance Organization
27OA00656400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417357575
NPI
NJ
01
—
1659330322
NPI
NJ
Enumeration date
07/23/2015
Last updated
07/23/2015
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