Provider Demographics
NPI:1689315178
Name:EYECARE PHYSICANS & SURGEONS OF LEVITTOWN LLC
Entity Type:Organization
Organization Name:EYECARE PHYSICANS & SURGEONS OF LEVITTOWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-547-1818
Mailing Address - Street 1:1609 WOODBOURNE RD STE 303
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-1521
Mailing Address - Country:US
Mailing Address - Phone:215-247-1818
Mailing Address - Fax:
Practice Address - Street 1:1609 WOODBOURNE RD STE 303
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1521
Practice Address - Country:US
Practice Address - Phone:215-247-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty