Individual provider Active NPI

Brian Markowski, OD

  • Optometrist
  • Bloomsburg, PA
National Provider Identifier
1932834843
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003936 Issued in PA
Practice address
1901 Columbia Blvd
Bloomsburg, PA 17815-7750
Phone
(570) 387-0991
NPI assigned
Jul 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003936 PA Primary

Addresses

Primary practice location

1901 Columbia Blvd
Bloomsburg, PA 17815-7750

Mailing address

2 Jefferson Dr
Mountain Top, PA 18707-2337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220915001687 PA Practitioner - Optometry 2264817014 Reassigns benefits to 1 organization
I20231108003584 NY Practitioner - Optometry 2264817014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Optometry Professional PLLCGroup PAC ID 5890169841, 26 clinicians

Practice addresses (Care Compare)

75 Main St
Sidney, NY 13838-1138
Phone (607) 563-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003936PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Finnco Incorporated Optometrist CurrentSince Aug 8, 2022 Accepting new patients
New York Optometry Professional PLLC Optometrist CurrentSince Oct 6, 2023 Accepting new patients

Locations

75 Main St
Sidney, NY 13838
Phone (607) 563-2442

3455 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 722-2020

133 W Front St
Berwick, PA 18603
Phone (570) 752-2500

1901 Columbia Blvd
Ste 2
Bloomsburg, PA 17815

1901 Columbia Blvd
Bloomsburg, PA 17815
Phone (570) 387-0991

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1932834843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JEFFERSON DR",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187072337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 COLUMBIA BLVD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157750",
            "telephone_number": "570-387-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWSKI",
        "first_name": "BRIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.