Individual
DR. RICHARD L. LEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
468 HOSPITAL DR, ST JOHNSBURY, VT 05819-9225
(802) 748-3536
Mailing address
468 HOSPITAL DR, ST JOHNSBURY, VT 05819-9225
(802) 483-5367
(802) 748-4838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000158
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007949
—
VT
Enumeration date
08/19/2006
Last updated
05/07/2020
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