MEDICARE: ALAN P LEVITT OD

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	152W00000X	Optometrist	OPC 1670	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932183324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN P LEVITT OD

Provider Business Mailing Address
First Line	:	1031 IVES DAIRY RD
Second Line	:	#133
City	:	MIAMI
State	:	FL
Zip	:	33179-2538
Country	:	US
Telephone Number	:	305-651-8832
Fax Number	:	305-651-0044

Provider Business Practice Location Address
First Line	:	1031 IVES DAIRY RD
Second Line	:	#133
City	:	MIAMI
State	:	FL
Zip	:	33179-2538
Country	:	US
Telephone Number	:	305-651-8832
Fax Number	:	305-651-0044

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	03/24/2008

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