Provider Demographics
NPI:1093792699
Name:MORSE, JAMES OLIVER (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:OLIVER
Last Name:MORSE
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 1:15 IRVINE AV
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12832-1233
Mailing Address - Country:US
Mailing Address - Phone:518-642-2444
Mailing Address - Fax:518-642-3600
Practice Address - Street 1:15 IRVINE AV
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:NY
Practice Address - Zip Code:12832-1233
Practice Address - Country:US
Practice Address - Phone:518-642-2444
Practice Address - Fax:518-642-3600
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV 002819152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
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