MEDICARE: DR. JAMES MICHAEL MARKLEY 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	5227	OH

General Provider Information

NPI Number	:	1811950066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MICHAEL MARKLEY O.D.

Provider Business Mailing Address
First Line	:	1714 WASHINGTON BLVD
Second Line	:
City	:	BELPRE
State	:	OH
Zip	:	45714-2096
Country	:	US
Telephone Number	:	740-423-9521
Fax Number	:	740-423-6882

Provider Business Practice Location Address
First Line	:	1714 WASHINGTON BLVD
Second Line	:
City	:	BELPRE
State	:	OH
Zip	:	45714-2096
Country	:	US
Telephone Number	:	740-423-9521
Fax Number	:	740-423-6882

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	05/13/2008

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