| Organization Name: | LEVIN EYE CARE CENTER, P.C. |
| NPI Number: | 1114101334 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELICA CARRILLO (OFFICE MANAGER) |
| Mailing Address: | 1334 119th St. Whiting |
| State: | IN US |
| Postal Code: | 46394 |
| Phone Number: | 2196593050 |
| Fax Number: | 2196593053 |
| NPI Enumeration Date: | 12/24/2007 |
| NPI Last Update Date: | 01/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WV0400X |
| License Number: | 18001641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Vision Therapy |
| Taxonomy Definition: | Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |