Provider Demographics
NPI:1619074754
Name:LOSKOT, JAMES EDWARD (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:LOSKOT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1008
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-6008
Mailing Address - Country:US
Mailing Address - Phone:410-569-9493
Mailing Address - Fax:410-569-9493
Practice Address - Street 1:401 CONSTANT FRIENDSHIP BLVD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2566
Practice Address - Country:US
Practice Address - Phone:410-569-9466
Practice Address - Fax:410-569-9493
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1221152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD19888002OtherDAVIS
MDT6180003OtherCFBCBS NASCO
MD54499403OtherCAREFIRST BCBSMD
MD592709OtherEYEMED
MDU81682Medicare UPIN
MD54499403OtherCAREFIRST BCBSMD