Provider Demographics
NPI:1225208085
Name:MARKLE, JAMES A (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:MARKLE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 N WICKHAM RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-8857
Mailing Address - Country:US
Mailing Address - Phone:321-259-2837
Mailing Address - Fax:
Practice Address - Street 1:785 N WICKHAM RD
Practice Address - Street 2:SUITE 107
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-8857
Practice Address - Country:US
Practice Address - Phone:321-259-2837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-08
Last Update Date:2008-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2732152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist