National Provider Identifier
Jack Levine, O.D.
Jack Levine, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Buffalo, NY and a listed phone number of (716) 822-1515.
Profile Overview
- NPI
- 1912089814
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- October 19, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2064 Seneca St
- Buffalo, NY 14210-2343
Phone: (716) 822-1515
Mailing Address
- 120 Meyer RD
- #523
- Buffalo, NY 14226-1046
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1912089814
- Entity Type
- Individual
- Last Name
- Levine
- First Name
- Jack
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 120 Meyer RD
- Mailing Address Line 2
- #523
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1046
- Mailing Country
- US
- Mailing Phone
- (716) 834-6399
- Practice Street Address
- 2064 Seneca St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-2343
- Practice Country
- US
- Practice Phone
- (716) 822-1515
- Enumeration Date
- October 19, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- 00610619 (NY)