MEDICARE: DR. MICHAEL LEVAVI 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	27OA00479900	NJ

General Provider Information

NPI Number	:	1871544270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL LEVAVI OD

Provider Business Mailing Address
First Line	:	1278 HOOPER AVE
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-3324
Country	:	US
Telephone Number	:	732-505-0533
Fax Number	:	732-505-6572

Provider Business Practice Location Address
First Line	:	275 ROUTE 22 EAST
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081
Country	:	US
Telephone Number	:	973-376-8900
Fax Number	:	973-912-9846

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	01/25/2026

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