Provider Demographics
NPI:1306831003
Name:SHEFFER, MORRIS F (OD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:F
Last Name:SHEFFER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:MORRIS
Other - Middle Name:FREDRICK
Other - Last Name:SHEFFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:1960 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1129
Practice Address - Country:US
Practice Address - Phone:704-716-2020
Practice Address - Fax:704-714-5343
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1003152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC246327CMedicare ID - Type Unspecified
NCT64870Medicare UPIN