Organization Name: | JOHN R. MARKHAM PC |
NPI Number: | 1194999722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT MARKHAM (MEDICAL DIRECTOR) |
Mailing Address: | 1680 Willow Creek Rd Prescott |
State: | AZ US |
Postal Code: | 863011108 |
Phone Number: | 9287783950 |
Fax Number: | 9287783999 |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 10/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |