MEDICARE: DR. REUBEN LEVI ALEXANDER O.D.

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	OEG002632	PA
2	152W00000X	Optometrist	OPT8244	MA

General Provider Information

NPI Number	:	1790039030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REUBEN LEVI ALEXANDER O.D.

Provider Business Mailing Address
First Line	:	673 VFW PKWY
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-3656
Country	:	US
Telephone Number	:	617-522-3443
Fax Number	:	617-522-3440

Provider Business Practice Location Address
First Line	:	673 VFW PKWY
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-3656
Country	:	US
Telephone Number	:	617-522-3443
Fax Number	:	617-522-3440

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

Provider Enumeration Date	:	11/08/2012
Last Update Date	:	01/15/2026

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