MEDICARE: LOUIS S MARKOWITZ O D & ASSOCIATES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CG0080	OTHER	PA	RRMC

General Provider Information

NPI Number	:	1629079124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUIS S MARKOWITZ O D & ASSOCIATES INC.

Provider Business Mailing Address
First Line	:	101 HERITAGE RUN
Second Line	:	SUITE 2
City	:	INDIANA
State	:	PA
Zip	:	15701-1584
Country	:	US
Telephone Number	:	724-349-4985
Fax Number	:	724-463-9765

Provider Business Practice Location Address
First Line	:	101 HERITAGE RUN RD
Second Line	:	SUITE 2
City	:	INDIANA
State	:	PA
Zip	:	15701-1584
Country	:	US
Telephone Number	:	724-349-4985
Fax Number	:	724-463-9765

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	FRANK E ZBIGNEWICH
Credential	:	OD
Telephone Number	:	724-349-4985

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/21/2022

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