Provider Demographics
NPI:1851566335
Name:ALAN P LEVITT OD
Entity Type:Organization
Organization Name:ALAN P LEVITT OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEVITT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-651-8832
Mailing Address - Street 1:1031 IVES DAIRY RD
Mailing Address - Street 2:#133
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2538
Mailing Address - Country:US
Mailing Address - Phone:305-651-8832
Mailing Address - Fax:305-651-0044
Practice Address - Street 1:1031 IVES DAIRY RD
Practice Address - Street 2:#133
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2538
Practice Address - Country:US
Practice Address - Phone:305-651-8832
Practice Address - Fax:305-651-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1670332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078225400Medicaid
FL19676Medicare PIN
FL0559550001Medicare NSC
FLT85216Medicare UPIN