Provider Demographics
NPI:1215044987
Name:LEVE, MICHAEL RICHARD (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:RICHARD
Last Name:LEVE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 OATES DR
Mailing Address - Street 2:#151
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6802
Mailing Address - Country:US
Mailing Address - Phone:972-279-1160
Mailing Address - Fax:972-279-1098
Practice Address - Street 1:1900 OATES DR
Practice Address - Street 2:#151
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6802
Practice Address - Country:US
Practice Address - Phone:972-279-1160
Practice Address - Fax:972-279-1098
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2617TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE0099883OtherDPS
ML0428119OtherDEA
ML0428119OtherDEA
TXE0099883OtherDPS
T14391Medicare UPIN