Organization Active NPI

John R Markham PC

Doing business as Prescott Vision and Eye Surgery Center

Optometrist
Prescott, AZ

National Provider Identifier

1689871667

Registry record updated Apr 1, 2016

On this page

Key facts
NPPES NPI Registry
National Provider Directory
Practitioners & affiliated clinicians
NPI Registry JSON
Other providers in Prescott, AZ
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: OptometristTaxonomy code 152W00000X
License: 1885 Issued in AZ
Legal business name: JOHN R MARKHAM PC
Doing business as: Prescott Vision and Eye Surgery Center
Practice address: 1680 Willow Creek Rd
Prescott, AZ 86301-1108
Phone: (928) 778-3950
Fax: (928) 778-3999
NPI assigned: Jul 2, 2007
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name: Dr. John Robert Markham, ODNPI 1225094550
Title: Owner
Phone: (928) 778-3950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)	Code	License	State	Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	152W00000X	142	AZ
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	152W00000X	1885	AZ	Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	207W00000X		AZ

Addresses

Primary practice location

1680 Willow Creek Rd
Prescott, AZ 86301-1108

Mailing address

3192 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (928) 778-3950

Other identifiers 22

Identifier	Type	State	Issuer
3421045	Other	AZ	CIGNA
7442967	Other	AZ	AETNA
DM2NNP	Other		ARIZONA FOUNDATION
NNP12599	Other	AZ	UNIVERSAL HEALTH CARE
033176-001	Other	AZ	MERCYCARE
866291-9714	Other		HUMANA
033176	Other	AZ	AHCCCS
190721	Other		AHCCCS
3Z0277	Other	AZ	HEALTH NET
AZ0142	Other		EYECARE DIRECT
1263119	Other	AZ	MERCYCARE
190721	Medicaid	AZ
5858351	Other		AETNA
033176	Medicaid	AZ
153165	Other	AZ	RAN-AMN
63119	Other		MEDICARE - UNSPECIFIED
15220	Other		AVESIS
A00148	Other	AZ	EYEMED
AZ01170	Other		MEDICARE SUBMITTER ID - CLINIC
AZ0142	Other		EYEMED
2Z6546	Other	AZ	HEALTH NET
572818	Other	AZ	RAN-AMN

Other names 1

Prescott Vision and Eye Surgery Center Doing business as

National Provider Directory

Practitioners & affiliated clinicians

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.

John R Markham, O D
- Optometrist
- Prescott, AZ
- NPI 1225094550
Authorized official Same address or phone

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1689871667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-778-3950",
            "fax_number": "928-778-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011108",
            "telephone_number": "928-778-3950",
            "fax_number": "928-778-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R MARKHAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "MARKHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-778-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "142",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1885",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3421045",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7442967",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA FOUNDATION",
            "identifier": "DM2NNP",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE",
            "identifier": "NNP12599",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE",
            "identifier": "033176-001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "866291-9714",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "033176",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "190721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3Z0277",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYECARE DIRECT",
            "identifier": "AZ0142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE",
            "identifier": "1263119",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190721",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5858351",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033176",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAN-AMN",
            "identifier": "153165",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - UNSPECIFIED",
            "identifier": "63119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "15220",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "A00148",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUBMITTER ID - CLINIC",
            "identifier": "AZ01170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "AZ0142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2Z6546",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAN-AMN",
            "identifier": "572818",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Vision and Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.