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NPI Code Detail

MEDICARE: JERROLD M LEVIN MD INC

MEDICARE: JERROLD M LEVIN MD 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
1207W00000XOphthalmology Physician30312OH

General Provider Information

NPI Number : 1770597692
Entity Type Code : Organization
Provider Name (Legal Business Name) : JERROLD M LEVIN MD INC
Provider Business Mailing Address
First Line : 3918 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2322
Country : US
Telephone Number : 513-489-6161
Fax Number : 513-489-6442
Provider Business Practice Location Address
First Line : 3918 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2322
Country : US
Telephone Number : 513-489-6161
Fax Number : 513-489-6442
Authorized Official
Title or Position : OWNER
Name : DR. JERROLD MAYER LEVIN
Credential : MD
Telephone Number : 513-489-6161
Provider Enumeration Date : 07/28/2006
Last Update Date : 08/22/2020

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