MEDICARE: LEVITTOWN EYE ASSOCIATES, 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	152W00000X	Optometrist	OE006503T	PA

General Provider Information

NPI Number	:	1982763272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEVITTOWN EYE ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	71 CRABTREE DR
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19055-1617
Country	:	US
Telephone Number	:	215-946-8478
Fax Number	:	215-946-4554

Provider Business Practice Location Address
First Line	:	71 CRABTREE DR
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19055-1617
Country	:	US
Telephone Number	:	215-946-8478
Fax Number	:	267-202-6887

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PETER KNOX ANDERSON
Credential	:	O.D.
Telephone Number	:	215-946-8478

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	01/24/2013

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