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JOHN R. MARKHAM PC NPI 1194999722


NPI Information

NPI: 1194999722
Provider Name: JOHN R. MARKHAM PC

Doing Business As: PRESCOTT VISION & EYE SURGERY CENTER

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1680 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 778-3950
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JOHN R. MARKHAM PC is an eyewear supplier in Prescott, AZ. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JOHN R. MARKHAM PC NPI is 1194999722. The provider is registered as an organization entity type.
The provider Is Doing Business As Prescott Vision & Eye Surgery Center.

The provider's business location address is:

1680 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301-108
Phone: (928) 778-3950
Fax: (928) 778-3999

The provider's authorized official is Scott Markham .
The authorized official title is Medical Director and has the following contact phone number (928) 778-3950.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 10/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
115220OTHERAVESIS
2OD142MEDICARE PIN
3190721MEDICAIDARIZONA
4AZ01170OTHERMEDICARE SUBMITTER ID - CLINIC
5866291-9714OTHERHUMANA
6T41904MEDICARE UPIN
7033176MEDICAIDARIZONA
85858351OTHERAETNA
963119OTHERMEDICARE - UNSPECIFIED
10Z63118MEDICARE PINARIZONA
110384690001MEDICARE NSCARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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