Provider Demographics
NPI:1275119927
Name:MORELL EYE CARE INC
Entity Type:Organization
Organization Name:MORELL EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:ALEC
Authorized Official - Last Name:MORELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-937-6717
Mailing Address - Street 1:1338 E VINE ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-3625
Mailing Address - Country:US
Mailing Address - Phone:954-937-6717
Mailing Address - Fax:
Practice Address - Street 1:1338 E VINE ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-3625
Practice Address - Country:US
Practice Address - Phone:407-846-4300
Practice Address - Fax:407-846-7658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty