MEDICARE: DR. JOHN MURPHY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT-001424	AZ
2	152W00000X	Optometrist	OPT.0001515	CO

General Provider Information

NPI Number	:	1760472369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MURPHY O.D.

Provider Business Mailing Address
First Line	:	955 W SOUTHERN AVE STE 101
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4903
Country	:	US
Telephone Number	:	480-961-1865
Fax Number	:	480-893-8172

Provider Business Practice Location Address
First Line	:	1785 W VALENCIA RD UNIT 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-6511
Country	:	US
Telephone Number	:	520-807-5721
Fax Number	:	520-807-5723

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	10/29/2025

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Directions to “ DR. JOHN MURPHY O.D.” Practice Location

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