Provider Demographics
NPI:1235437641
Name:MORRIS EYE ASSOCIATES, PC
Entity Type:Organization
Organization Name:MORRIS EYE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:OPTOMETRIST
Authorized Official - Phone:781-826-0850
Mailing Address - Street 1:160 KATHERINE LEE BATES RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2877
Mailing Address - Country:US
Mailing Address - Phone:508-548-1135
Mailing Address - Fax:508-548-1823
Practice Address - Street 1:160 KATHERINE LEE BATES RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2877
Practice Address - Country:US
Practice Address - Phone:508-548-1135
Practice Address - Fax:508-548-1823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6545680001Medicare NSC