Individual
J RICHARD LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5 BELLEROSA CT, SAINT LOUIS, MO 63122-3358
(314) 821-2925
(314) 821-2991
Mailing address
5 BELLEROSA CT, SAINT LOUIS, MO 63122-3358
(314) 821-2925
(314) 821-2991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2191
MO
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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