Provider Demographics
NPI:1801891601
Name:MARKWARD, EVA DOYLE (OD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:DOYLE
Last Name:MARKWARD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:EVA
Other - Middle Name:
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:738 DEKALB PIKE
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1292
Mailing Address - Country:US
Mailing Address - Phone:610-278-9026
Mailing Address - Fax:610-278-9027
Practice Address - Street 1:738 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1292
Practice Address - Country:US
Practice Address - Phone:610-278-9026
Practice Address - Fax:610-278-9027
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000240152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU79490Medicare UPIN