Provider Demographics
NPI:1083718373
Name:MORRIS, CHRISTOPHER D (OD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:D
Last Name:MORRIS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3710 SOUTHERN HILLS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8041
Mailing Address - Country:US
Mailing Address - Phone:479-636-1960
Mailing Address - Fax:479-636-8012
Practice Address - Street 1:3710 SOUTHERN HILLS BLVD
Practice Address - Street 2:PARENTI-MORRIS EYECARE
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8041
Practice Address - Country:US
Practice Address - Phone:479-636-1960
Practice Address - Fax:479-636-8012
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2491152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR137071722Medicaid
AR137071722Medicaid