Provider Demographics
NPI:1548517188
Name:LEVIN, ARTHUR B (OD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:B
Last Name:LEVIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4401 E SUNSET RD SUITE #4
Mailing Address - Street 2:RYAN PETERSON OD INC
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014
Mailing Address - Country:US
Mailing Address - Phone:702-294-6200
Mailing Address - Fax:702-331-4533
Practice Address - Street 1:4401 E. SUNSET RD SUITE #4
Practice Address - Street 2:RYAN PETERSON, O.D
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014
Practice Address - Country:US
Practice Address - Phone:702-294-6200
Practice Address - Fax:702-331-4533
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYTUV003376-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist