Provider Demographics
NPI:1265604367
Name:DR JOHN S LOWITZ OD
Entity type:Organization
Organization Name:DR JOHN S LOWITZ OD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-838-3465
Mailing Address - Street 1:2236 TODDS LN STE B
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3160
Mailing Address - Country:US
Mailing Address - Phone:757-838-3465
Mailing Address - Fax:757-827-4791
Practice Address - Street 1:1610 ABERDEEN RD STE C
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3145
Practice Address - Country:US
Practice Address - Phone:757-838-3465
Practice Address - Fax:757-827-4791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000441152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVA1618OtherEYEMED
VA9233709Medicaid
VA073704OtherANTHEM BCBS
VA40456OtherDAVIS VISION
VA410037122OtherMEDICARE RAILROAD
VA=========OtherADVANTICA EYE CARE
VA=========OtherWELL CARE
VAVA1618OtherEYEMED
VA=========OtherPYRAMID LIFE
VA=========OtherADVANTRA
VA=========OtherUNITED HEALTH CARE
VA=========OtherHUMANA
VA9233709Medicaid
VA=========OtherVISION SERVICE PLAN
VA=========OtherSUPERIOR VISION
VA9233709Medicaid
VA1240110001Medicare NSC