Provider Demographics
NPI:1801855689
Name:MARKLEY, HARVEY O (O D)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:O
Last Name:MARKLEY
Suffix:
Gender:M
Credentials:O D
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Mailing Address - Street 1:9795 CROSSPOINT BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3354
Mailing Address - Country:US
Mailing Address - Phone:317-254-6480
Mailing Address - Fax:317-259-8609
Practice Address - Street 1:3965 W 106TH ST
Practice Address - Street 2:STE 120
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7777
Practice Address - Country:US
Practice Address - Phone:317-875-9339
Practice Address - Fax:317-875-3311
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN18001622152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN894060003Medicare PIN
ININ1943010Medicare PIN