MEDICARE: DR. SAMUEL DEWEY LEVANT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	DR.0077026	CO
2	390200000X	Student in an Organized Health Care Education/Training Program	0116036438	VA
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	DR.0077026	CO

General Provider Information

NPI Number	:	1548841612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL DEWEY LEVANT MD

Provider Business Mailing Address
First Line	:	1215 LEE ST BOX 800654
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0816
Country	:	US
Telephone Number	:	434-924-5485
Fax Number	:	434-924-5180

Provider Business Practice Location Address
First Line	:	1215 LEE ST # 800654
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22908-0001
Country	:	US
Telephone Number	:	434-924-5485
Fax Number	:	434-924-5180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	05/08/2026

Similar Medicare Providers

1407895766 — LUKE LANCASTER M.D.
Practice Location Address:

LEE ST FL 1
CHARLOTTESVILLE, VA
22908-0001

Practice Phone: 434-243-6888
Practice Fax: 434-982-1618

1639780760 — CASSANDRA BIGLEY FNP
Practice Location Address:

1221 LEE ST
CHARLOTTESVILLE, VA
22908-0001

Practice Phone: 434-924-2706
Practice Fax:

1740538321 — DIANA M HARRIS ACNP
Practice Location Address:

1221 LEE ST
CHARLOTTESVILLE, VA
22908-0001

Practice Phone: 434-924-2706
Practice Fax:

1043214620 — DEAN C WEIL CRNA
Practice Location Address:

1221 LEE ST
CHARLOTTESVILLE, VA
22908-0001

Practice Phone: 434-982-4228
Practice Fax:

1740285642 — JANE HOLLAND MCBRYDE MASON MD
Practice Location Address:

1215 LEE ST
CHARLOTTESVILLE, VA
22908-0001

Practice Phone: 434-924-2283
Practice Fax: 434-982-0019

1114923596 — MR. GARY F CUCCIA CRNA
Practice Location Address:

1221 LEE ST.
CHARLOTTESVILLE, VA
22908-0001

Practice Phone: 434-982-0117
Practice Fax:

Directions to “ DR. SAMUEL DEWEY LEVANT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.