JOHN R. MARKHAM PC (NPI# 1104090737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104090737 |
| Entity Type | Organization |
| Organization Name | JOHN R. MARKHAM PC |
| Other Organization Name | PRESCOTT VISION & EYE SURGERY CENTER |
| Practice Address |
399 Palomino Road Chino Valley AZ 86323 |
| Mailing Address |
1680 Willow Creek Rd Prescott AZ 86301 |
| Practice Telephone | 9286365504 |
| Practice Fax Number | 9286360780 |
| Mailing Telephone | 9287783950 |
| Mailing Fax Number | 9287783999 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-07-01 |
| Authorized Official Name | DR. SCOTT MARKHAM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9287783950 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC OPTICAL SUPPLIER - PRESCOTT | 0384690001 | 01 | |
| AZ | 190721 | 05 | |
| AETNA | 5858351 | 01 | |
| HUMANA | 866291-9714 | 01 | |
| AZ | 033176 | 05 | |
| MEDICARE SUBMITTER ID - PRESCOTT | AZ01170 | 01 | |
| AVESIS | 15220 | 01 |
| Other Name | Type Code |
|---|---|
| Prescott Vision & Eye Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194999722 | John R. Markham PC | Eyewear Supplier (Equipment, not the service) | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2008-04-15 |
| Street Address |
399 PALOMINO ROAD |
| City | CHINO VALLEY |
| State | AZ |
| Zip Code | 86323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558816 | Enbrace Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 743 East Road 2 N, Chino Valley, AZ 86323 | 2019-10-02 |
| 1164943197 | Kevin Ross Pullins | Spec/Tech, Cardiovascular | 605 Park Pl, Chino Valley, AZ 86323 | 2017-06-29 |
| 1255700779 | Deanna Hartsough | Chiropractor | 1352 Taft Ave, Chino Valley, AZ 86323 | 2015-09-15 |
| 1366824369 | Advanced Chiropractic Health Centre, LLC | Chiropractor | 2235 S Hwy 89 Ste B7, Chino Valley, AZ 86323 | 2015-06-25 |
| 1417360835 | Hospice Family Care, Inc. | Hospice Care, Community Based | 448 N Hwy 89, Suite G & H, Chino Valley, AZ 86323 | 2014-06-03 |
| 1053744268 | Sonora Quest Laboratories, LLC | Clinical Medical Laboratory | 1031 Az-89, Chino Valley, AZ 86323 | 2013-08-12 |
| 1891031696 | Jody Hoitt | Registered Nurse | 3455 W. Oak Creek Lane, Chino Valley, AZ 86323 | 2012-12-26 |
| 1508113275 | Augustine Fella Aworuwa | Pharmacist | 1020 State Route 89 North, Chino Valley, AZ 86323 | 2012-08-13 |
| 1962690289 | Nancy Louise Ethridge | Speech-Language Pathologist | 650 E. Center St, Chino Valley, AZ 86323 | 2007-10-11 |
| 1609061514 | Donna Drew Mcbroom | Registered Nurse | 650 E. Center Street, Chino Valley, AZ 86323 | 2007-09-13 |
| Find all providers in zip 86323 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652359 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7014 E Camelback Rd Ste 156, Scottsdale, AZ 85251-1227 | 2020-02-26 |
| 1134760937 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 302 E Bell Rd Ste 150, Phoenix, AZ 85022-2434 | 2019-10-02 |
| 1831678127 | Thundercloud Optical | Eyewear Supplier (Equipment, not the service) | 4515 N 16th St Ste 112, Phoenix, AZ 85016-5362 | 2018-08-08 |
| 1396262614 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 15257 N Scottsdale Rd, Scottsdale, AZ 85254-2490 | 2017-08-28 |
| 1689102923 | Van Buren Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1130 E Missouri Ave Ste 110, Phoenix, AZ 85014-2712 | 2017-05-31 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1184175416 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 15033 W Bell Rd Ste 150, Surprise, AZ 85374-3262 | 2016-10-21 |
| 1750832721 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7600 W Arrowhead Towne Ctr, Glendale, AZ 85308 | 2016-10-14 |
| 1346790094 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1979 E 16th St, Yuma, AZ 85365-2122 | 2016-10-06 |
| 1396294583 | Kokopelli Eye Care PC | Eyewear Supplier (Equipment, not the service) | 2403 N Stockton Hill Rd, Suite 1, Kingman, AZ 86401-4188 | 2016-09-28 |
| Find all providers with the same taxonomy | ||||
| City | CHINO VALLEY |
| Zip Code | 86323 |
Please comment or provide details below to improve the information on JOHN R. MARKHAM PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.