Robert B Levine Od A Professional Optometric Corporation
Optometrist in San Rafael, CA. Organization (NPI-2).
NPI number1457585580
StatusActive
Last updated in NPPESSep 16, 2015
Details
- NPI
- 1457585580
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert B Levine Od A Professional Optometric Corporation
- Organization subpart
- No
- Enumeration date
- May 4, 2009
- Last updated
- Sep 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 6727 | CA | Yes |
Other names
- Marin Optometric Gorup (Doing Business As)
Practice location
1001 Grand AveSan Rafael, CA 94901-3416
Phone 415-453-3812 · Fax 415-453-6712
Mailing address
1001 Grand AveSan Rafael, CA 94901-3416
Phone 415-453-3812 · Fax 415-453-6712
Authorized official
Robert B. Levine
Owner
4154533812
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