| NPI | 1689871667 |
|---|---|
| Doing Business As | PRESCOTT VISION AND EYE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT MARKHAM Owner 928-778-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1885) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 142) |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2016-04-01 |