ARIZONA INSTITUTE OF EYE SURGERY LLC (NPI# 1487845764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487845764 |
| Entity Type | Organization |
| Organization Name | ARIZONA INSTITUTE OF EYE SURGERY LLC |
| Other Organization Name | PRESCOTT VISION & EYE SURGERY CENTER |
| Practice Address |
3192 Willow Creek Rd Prescott AZ 86301-6610 |
| Practice Telephone | 9287783950 |
| Practice Fax Number | 9287783999 |
| Mailing Telephone | 9287783950 |
| Mailing Fax Number | 9287783999 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | DR. SCOTT P MARKHAM (OWNER/MANAGER) |
| Authorized Official Telephone | 9287783950 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
OSC4258 | AZ | Ambulatory Health Care Facilities |
| Y | 207W00000X | Ophthalmology | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MERCYCARE | 033176-001 | 01 | |
| HUMANA | 866291-9714 | 01 | |
| AETNA | 7442967 | 01 | |
| AZ | 280244 | 05 | |
| HEALTHNET | 2Z6546 | 01 | |
| ARIZONA FOUNDATION | DM2NNP | 01 | |
| AZ | MEDICARE CCN | 03-C0001215 | 01 |
| CIGNA | 3421045 | 01 | |
| AZ | PHYSICIAN MEDICAL LICENSE | 4498 | 01 |
| RAN & AMN | 572818 | 01 | |
| AZ | 190721 | 05 |
| Other Name | Type Code |
|---|---|
| Prescott Vision & Eye Surgery Center | Doing Business As Name - Organization |
| Street Address |
3192 WILLOW CREEK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-6610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485874 | Gary L Morgan | Optometrist | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2005-05-23 |
| 1609344209 | Southwestern Eye Center, Ltd | Durable Medical Equipment & Medical Supplies | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2018-11-13 |
| 1861971046 | High Desert Surgery Center, L.L.C. | Neurological Surgery | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2018-08-09 |
| 1396221230 | Shane Ryan Sanders | Optometrist | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2018-07-13 |
| 1639670870 | Brett James Christensen | Optometrist | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2018-02-22 |
| 1578964672 | M&m Eye Institute Plc | Ophthalmology | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2014-09-08 |
| 1720278047 | Arizona Institute of Eye Surgery, LLC | Clinic/Center | 3192 Willow Creek Rd, 3192 Willow Creek Road, Prescott, AZ 86301-6610 | 2007-08-01 |
| 1649238346 | Amy H Champ | Optometrist | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2006-05-02 |
| 1962473595 | Steven Worthen Mortenson | Ophthalmology | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2006-01-31 |
| 1437120334 | Prescott Eye Care & Surgical Center PC | Clinic/Center | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2006-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013132158 | Barnet Dulaney Perkins Eye Center | Ophthalmology | 1680 Willow Creek Road, Barnet Dulaney Perkins Eye Center, Prescott, AZ 86301 | 2007-04-16 |
| 1932167632 | John Harold Rummel | Ophthalmology | 1022 Willow Creek Rd, Suite 200, Prescott, AZ 86301-1607 | 2006-05-02 |
| 1487625679 | James Brayshaw Arthur | Ophthalmology | 3769 Crossings Drive, Prescott, AZ 86305 | 2006-01-27 |
| 1669867842 | M & M Eye Institute, Plc | Ophthalmology | 3769 Crossings Dr, Prescott, AZ 86305-7121 | 2015-04-03 |
| 1578964672 | M&m Eye Institute Plc | Ophthalmology | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2014-09-08 |
| 1053592428 | Associated Retina Consultants, Ltd. | Ophthalmology | 1022 Willow Creek Rd, Prescott, AZ 86301-1607 | 2007-11-14 |
| 1972688836 | Scott Patrick Markham | Ophthalmology | 1680 Willow Creek Rd, Prescott, AZ 86301-1108 | 2006-10-26 |
| 1225086291 | Rummel Eye Care, P.C. | Ophthalmology | 1022 Willow Creek Rd, Suite 200, Prescott, AZ 86301-1607 | 2006-05-04 |
| 1033167093 | Robert Mark Rummel | Ophthalmology | 1022 Willow Creek Rd, Suite 200, Prescott, AZ 86301-1607 | 2006-05-04 |
| 1215985239 | William David Rummel Jr. | Ophthalmology | 1022 Willow Creek Rd, Suite 200, Prescott, AZ 86301-1607 | 2006-05-04 |
| Find all providers in PRESCOTT | ||||
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| 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.