Provider Demographics
NPI:1992012488
Name:MARKERRY ENTERPRISES LLC
Entity Type:Organization
Organization Name:MARKERRY ENTERPRISES LLC
Other - Org Name:BE SPECTACLED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:VETH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:414-520-8687
Mailing Address - Street 1:7511 HARWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-2606
Mailing Address - Country:US
Mailing Address - Phone:414-453-1300
Mailing Address - Fax:
Practice Address - Street 1:7511 HARWOOD AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-2606
Practice Address - Country:US
Practice Address - Phone:414-453-1300
Practice Address - Fax:414-453-1330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty