Provider Demographics
NPI:1538699582
Name:LEVY, KAREN (OD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:LEVY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HADDON AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2110
Mailing Address - Country:US
Mailing Address - Phone:856-854-4242
Mailing Address - Fax:856-854-3585
Practice Address - Street 1:900 HADDON AVE STE 102
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-2110
Practice Address - Country:US
Practice Address - Phone:856-854-4242
Practice Address - Fax:856-854-3585
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00673900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist