Provider Demographics
NPI:1093716235
Name:MARKOW, STEVEN A (OD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:MARKOW
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HADLEY ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SO HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1058
Mailing Address - Country:US
Mailing Address - Phone:413-536-6100
Mailing Address - Fax:413-536-8100
Practice Address - Street 1:7 HADLEY ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SO HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1058
Practice Address - Country:US
Practice Address - Phone:413-536-6100
Practice Address - Fax:413-536-8100
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2929152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5995870001Medicare NSC