| NPI | 1104090737 |
|---|---|
| Doing Business As | PRESCOTT VISION & EYE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT MARKHAM Medical Director 928-778-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-07-01 |