Provider Demographics
NPI:1629079124
Name:LOUIS S MARKOWITZ O D & ASSOCIATES INC.
Entity Type:Organization
Organization Name:LOUIS S MARKOWITZ O D & ASSOCIATES INC.
Other - Org Name:MARKOWITZ & ASSOCIATES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZBIGNEWICH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-349-4985
Mailing Address - Street 1:101 HERITAGE RUN
Mailing Address - Street 2:SUITE 2
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1584
Mailing Address - Country:US
Mailing Address - Phone:724-349-4985
Mailing Address - Fax:724-463-9765
Practice Address - Street 1:101 HERITAGE RUN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1584
Practice Address - Country:US
Practice Address - Phone:724-349-4985
Practice Address - Fax:724-463-9765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009360760004Medicaid
PACG0080OtherRRMC
PA0315320001Medicare NSC
PA642548Medicare PIN