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General NPI Number Information
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NPI Number | 1265604367
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Entity Type | Organization
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Legal Business Name | DR JOHN S LOWITZ OD
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 12/19/2019
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Provider Practice Location Address
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Address Line | 1610 ABERDEEN RD STE C
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City | HAMPTON
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State | VA
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Zip | 23666-3145
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Country | US
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Telephone | 757-838-3465
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Fax | 757-827-4791
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Provider Business Mailing Address
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Address Line | 2236 TODDS LN STE B
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City | HAMPTON
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State | VA
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Zip | 23666-3160
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Country | US
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Telephone | 757-838-3465
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Fax | 757-827-4791
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. JOHN S LOWITZ
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Credential | OD
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Telephone | 757-838-3465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000441
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License Number State | VA
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