John R. Markham Pc in Prescott - Eyewear Supplier
John R. Markham Pc - NPI 1104090737
John R. Markham Pc is a Eyewear Supplier in Prescott, Arizona. John R. Markham Pc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for John R. Markham Pc is 1104090737. The last update date is 2008-07-01.
John R. Markham Pc's current location address is 1680 Willow Creek Rd, Prescott, Arizona. You can contact this provider via phone number 9287783950 and fax number 9287783999. The mailing address for John R. Markham Pc is 1680 Willow Creek Rd, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John R. Markham Pc |
|---|---|
| Address | 1680 Willow Creek Rd, Prescott, Arizona |
| Phone Number | 9287783950 |
| Fax Number | 9287783999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Markham Scott |
| Credentials | DO |
| Telephone Number | 9287783950 |
NPI Number Detail
| NPI Number | 1104090737 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 1680 Willow Creek Rd |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 86301 |
| Phone Number | 9287783950 |
| Fax Number | 9287783999 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33176 | AZ | -- | |
| 15220 | AVESIS | ||
| 384690001 | DMERC OPTICAL SUPPLIER - PRESC | ||
| AZ01170 | MEDICARE SUBMITTER ID - PRESCO | ||
| 5858351 | AETNA | ||
| 190721 | AZ | -- | |
| 866291-9714 | HUMANA |
Post Comment/ Review Below
What is the John R. Markham Pc's 1104090737?
The John R. Markham Pc's NPI (National Provider Identifier) Number is 1104090737. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John R. Markham Pc's physical address?
The John R. Markham Pc is physically located at 1680 Willow Creek Rd, in the city of Prescott, AZ, with the postal code 86301.
What is John R. Markham Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John R. Markham Pc is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104090737 to John R. Markham Pc?
The Centers for Medicare & Medicaid Services assigned the 1104090737 to John R. Markham Pc on 2008-04-15.
When was the information pertaining to John R. Markham Pc most recently updated or revised?
The details related to John R. Markham Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-01.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC