Conley Marcum Jr OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

204 Issued in AK

Legal business name

CONLEY MARCUM JR OD INC

Practice address

2011 Abbott Rd
Suite a
Anchorage, AK 99507-3400

Phone

(907) 336-4400

Fax

(907) 336-4414

NPI assigned

Mar 6, 2008

Last updated

Sep 7, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Conley Lloyd Marcum Jr., ODNPI 1487745949

Title

President

Phone

(907) 317-8174

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Conley L Marcum Jr., O.D.

  • Optometrist
  • Anchorage, AK
  • NPI 1487745949
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1649440538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ABBOTT RD",
            "address_2": "SUITE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073400",
            "telephone_number": "907-336-4400",
            "fax_number": "907-336-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ABBOTT RD",
            "address_2": "SUITE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073400",
            "telephone_number": "907-336-4400",
            "fax_number": "907-336-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONLEY MARCUM JR OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "MARCUM",
        "authorized_official_first_name": "CONLEY",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-317-8174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Robbins Condy, PH.D
• Confluence, LLC
• Jeffrey Charles Congdon, MD
• Amy Cynowa Conklin, D.C.
• Elizabeth Conklin, ANP
• Kathleen Conley
• Kim Theresa Conley, DDS
• Wanda Conley
• Daniel Francis Conlin, MA, LPC
• Amy Conn

• Optometrist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.