Provider Demographics
NPI:1699900977
Name:LEVY AND LEVY, OD, PA
Entity type:Organization
Organization Name:LEVY AND LEVY, OD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-589-3400
Mailing Address - Street 1:1013 SPRING ST
Mailing Address - Street 2:STE 105
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4021
Mailing Address - Country:US
Mailing Address - Phone:301-589-3400
Mailing Address - Fax:301-589-3403
Practice Address - Street 1:1013 SPRING ST
Practice Address - Street 2:STE 105
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4021
Practice Address - Country:US
Practice Address - Phone:301-589-3400
Practice Address - Fax:301-589-3403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1080152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty