MEDICARE: LEVEL OPTICAL CO., INC.

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	156FX1800X	Optician	01600011005	IL

General Provider Information

NPI Number	:	1659418804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEVEL OPTICAL CO., INC.

Provider Business Mailing Address
First Line	:	70 E LAKE ST
Second Line	:	#107
City	:	CHICAGO
State	:	IL
Zip	:	60601-5959
Country	:	US
Telephone Number	:	312-236-3822
Fax Number	:	312-236-3825

Provider Business Practice Location Address
First Line	:	70 E LAKE ST
Second Line	:	#107
City	:	CHICAGO
State	:	IL
Zip	:	60601-5959
Country	:	US
Telephone Number	:	312-236-3822
Fax Number	:	312-236-3825

Authorized Official
Title or Position	:	SECRATARY TREASURER
Name	:	MR. MICHAEL E. RITHOLZ
Credential	:
Telephone Number	:	312-236-3822

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

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Directions to “LEVEL OPTICAL CO., INC. ” Practice Location

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