Organization
JOHN R MARKHAM PC
Active
Other names
Prescott Vision and Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT MARKHAM OD (OWNER)
(928) 778-3950
Entity
Organization
Contact information
Practice address
1680 WILLOW CREEK RD, PRESCOTT, AZ 86301-1108
(928) 778-3950
(928) 778-3999
Mailing address
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301-6610
(928) 778-3950
(928) 778-3999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
142
AZ
152W00000X
Optometrist
Primary
1885
AZ
207W00000X
Ophthalmology Physician
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033176
AHCCCS
AZ
05
—
033176
—
AZ
01
—
033176-001
MERCYCARE
AZ
01
—
1263119
MERCYCARE
AZ
01
—
15220
AVESIS
—
01
—
153165
RAN-AMN
AZ
01
—
190721
AHCCCS
—
05
—
190721
—
AZ
01
—
2Z6546
HEALTH NET
AZ
01
—
3421045
CIGNA
AZ
01
—
3Z0277
HEALTH NET
AZ
01
—
572818
RAN-AMN
AZ
01
—
5858351
AETNA
—
01
—
63119
MEDICARE - UNSPECIFIED
—
01
—
7442967
AETNA
AZ
01
—
866291-9714
HUMANA
—
01
—
A00148
EYEMED
AZ
01
—
AZ01170
MEDICARE SUBMITTER ID - CLINIC
—
01
—
AZ0142
EYECARE DIRECT
—
01
—
DM2NNP
ARIZONA FOUNDATION
—
01
—
NNP12599
UNIVERSAL HEALTH CARE
AZ
Enumeration date
07/02/2007
Last updated
04/01/2016
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